Riverton Heights Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

6227003-9922 Issued in UT

Legal business name

RIVERTON HEIGHTS DENTAL CARE

Practice address

3693 W 13400 S
Suite B
Riverton, UT 84065-6411

Phone

(801) 878-3111

Fax

(801) 878-3444

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Brian Borg, D.M.D

Title

Owner Dentist

Phone

(801) 878-3111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1386048171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3693 W 13400 S",
            "address_2": "SUITE B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840656411",
            "telephone_number": "801-878-3111",
            "fax_number": "801-878-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3693 W 13400 S",
            "address_2": "SUITE B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840656411",
            "telephone_number": "801-878-3111",
            "fax_number": "801-878-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTON HEIGHTS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "BORG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "801-878-3111",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "6227003-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverton Family Dental PLLC
• Riverton Family Eye Care Optometry Practice , LLC
• Riverton Family Health Center L L C
• Riverton Family Health Center LLC
• Riverton Gastroenterology Center LLC
• Riverton Heights Dental, Corp.
• Riverton Smile Center
• Riverton Surgery Center LLC
• Riverton Transitional Rehabilitation Center LLC
• Elysia Rizzo, MS CCC-SLP

• Dentist in Riverton, UT
• Providers in Riverton, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.