Pinnacle Dental Partners

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

PINNACLE DENTAL PARTNERS

Practice address

209 W 200 N
Roosevelt, UT 84066-2835

Phone

(435) 722-2111

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Tanuvasa

Title

President

Phone

(385) 216-4421

Specialties & licenses 3

Addresses

Tax ID family

Pinnacle Dental Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Piinnacle Dental Parrtners

  • Dentist
  • Pleasant Grove, UT
  • NPI 1629808779
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Piinnacle Dental Parrtners

  • Dentist
  • Pleasant Grove, UT
  • NPI 1629808779
  NPPES parent name

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1396579942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W PALO VERDE WAY",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847381207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 200 N",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662835",
            "telephone_number": "435-722-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "TANUVASA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "385-216-4421"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory George Page, DDS
• Jeremy M Patton
• Sean David Paulsen, M.D.
• Cody Wayne Pearson, DPT
• Trina Elise Perras-Bird, FNP-C
• Royce Porter
• James Lamoyne Potter, DO
• Junghee Powell, PHARMD
• Shane K Powell, MD
• Carol F Rasmussen, NP

• Public Health Dentistry in Roosevelt, UT
• Providers in Roosevelt, UT by specialty
• Public Health Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.