NPIMap

Organization Active NPI

Justin J. Woodward D.D.S., P.C

  • General Practice Dentistry
  • Sandy, UT
National Provider Identifier
1396897906
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47420579922 Issued in UT
Legal business name
JUSTIN J. WOODWARD D.D.S., P.C
Practice address
9829 S 1300 E Ste 102
Sandy, UT 84094-4065
Phone
(801) 553-3562
Fax
(801) 553-3564
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Justin J Woodward, D.D.S.,P.C.NPI 1568618213
Title
Owner
Phone
(801) 553-3562

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 47420579922 UT Primary

Addresses

Primary practice location

9829 S 1300 E Ste 102
Sandy, UT 84094-4065

Mailing address

9829 S 1300 E Ste 102
Sandy, UT 84094-4065
Phone (801) 553-3562

Other names 1

  • Alta Ridge Dental Care Other name

National Provider Directory

National Provider Directory

Locations

9829 S 1300 E
Ste 102
Sandy, UT 84094
Phone (801) 553-3562

Practitioners & affiliated clinicians

Practitioners 2

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1396897906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9829 S 1300 E STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944065",
            "telephone_number": "801-553-3562",
            "fax_number": "801-553-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 S 1300 E STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944065",
            "telephone_number": "801-553-3562",
            "fax_number": "801-553-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN J. WOODWARD D.D.S., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-553-3562",
        "authorized_official_credential": "D.D.S.,P.C."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "47420579922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Ridge Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.