NPIMap

Organization Active NPI

Alcorn Family Dentistry

  • Endodontics
  • Highland, UT
National Provider Identifier
1376845610
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5329882 Issued in UT
Legal business name
ALCORN FAMILY DENTISTRY
Practice address
5455 W. 11000 No.
#103
Highland, UT 84003
Phone
(801) 492-0055
Fax
(801) 877-4355
NPI assigned
Nov 18, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
James D Alcorn, DMDNPI 1316002389
Title
Owner
Phone
(801) 492-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5329882 UT Primary

Addresses

Primary practice location

5455 W. 11000 No.
#103
Highland, UT 84003

Mailing address

5455 W. 11000 No.
#103
Highland, UT 84003
Phone (801) 492-0055

National Provider Directory

National Provider Directory

Locations

5455 W 11000 N
Ste 103
Highland, UT 84003
Phone (801) 492-0055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1376845610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 W. 11000 NO.",
            "address_2": "#103",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-492-0055",
            "fax_number": "801-877-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W. 11000 NO.",
            "address_2": "#103",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-492-0055",
            "fax_number": "801-877-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCORN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-492-0055",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "5329882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.