Organization Active NPI

Smilewide Dental Care PC

  • General Practice Dentistry
  • Herriman, UT
National Provider Identifier
1376656017
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53235209922 Issued in UT
Legal business name
SMILEWIDE DENTAL CARE PC
Practice address
5629 W. 13100 S.
Herriman, UT 84096
Phone
(801) 446-6889
Fax
(801) 446-6881
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rodney Jonathan Thornell, D.M.D.NPI 1972516284
Title
Doctor
Phone
(801) 446-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53235209922 UT Primary

Addresses

Primary practice location

5629 W. 13100 S.
Herriman, UT 84096

Mailing address

5629 W. 13100 S.
Herriman, UT 84096
Phone (801) 446-6889

National Provider Directory

National Provider Directory

Locations

5629 W 13100 S
Herriman, UT 84096
Phone (801) 349-9606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1376656017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 W. 13100 S.",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-446-6889",
            "fax_number": "801-446-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 W. 13100 S.",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "84096",
            "telephone_number": "801-446-6889",
            "fax_number": "801-446-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEWIDE DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "THORNELL",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-446-6889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "53235209922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.