Organization Active NPI

Kenneth G. Bills D.D.S. P.C.

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1376893370
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
221387029922 Issued in UT
Legal business name
KENNETH G. BILLS D.D.S. P.C.
Practice address
2180 E 4500 S
Suite 240
Salt Lake City, UT 84117-4434
Phone
(801) 277-0090
Fax
(801) 277-0092
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Dr. Kenneth Gene Bills, D.D.S.
Title
Ceo
Phone
(801) 277-0090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 221387029922 UT Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 221387029922 UT

Addresses

Primary practice location

2180 E 4500 S
Suite 240
Salt Lake City, UT 84117-4434

Mailing address

2180 E 4500 S
Suite 240
Salt Lake City, UT 84117-4434
Phone (801) 277-0090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1376893370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S",
            "address_2": "SUITE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174434",
            "telephone_number": "801-277-0090",
            "fax_number": "801-277-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S",
            "address_2": "SUITE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174434",
            "telephone_number": "801-277-0090",
            "fax_number": "801-277-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G. BILLS D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-277-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "221387029922",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "221387029922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.