Organization Active NPI

Paul M Huffaker, DMD, PLLC

  • Dental Clinic/Center
  • Centerville, UT
National Provider Identifier
1407209745
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
98296579922 Issued in UT
Legal business name
PAUL M HUFFAKER, DMD, PLLC
Practice address
134 S Main St
Suite #4
Centerville, UT 84014-2814
Phone
(385) 245-8247
NPI assigned
Jul 22, 2016
Last updated
May 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Dr. Paul M Huffaker, D.M.D.NPI 1396298048
Title
Owner
Phone
(385) 245-8247

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
Dental Clinic/Center 261QD0000X 98296579922 UT Primary

Addresses

Primary practice location

134 S Main St
Suite #4
Centerville, UT 84014-2814

Mailing address

134 S Main St
Suite #4
Centerville, UT 84014-2814
Phone (385) 245-8247

National Provider Directory

National Provider Directory

Locations

134 S Main St
Ste 4
Centerville, UT 84014
Phone (385) 245-8247

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": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1407209745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S MAIN ST",
            "address_2": "SUITE #4",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142814",
            "telephone_number": "385-245-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S MAIN ST",
            "address_2": "SUITE #4",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142814",
            "telephone_number": "385-245-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M HUFFAKER, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "HUFFAKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-245-8247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "98296579922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.