Organization Active NPI

Roy Pediatric Dentistry LLC Dba Wee Care Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Roy, UT
National Provider Identifier
1407720899
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ROY PEDIATRIC DENTISTRY LLC DBA WEE CARE PEDIATRIC DENTISTRY AND ORTHODONTICS
Practice address
5682 S 3500 W Unit a
Roy, UT 84067-9108
Phone
(801) 773-8644
Fax
(801) 773-9828
NPI assigned
Sep 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Ebonie Gonzales, DDS
Title
Dental Provider
Phone
(505) 850-3769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

5682 S 3500 W Unit a
Roy, UT 84067-9108

Mailing address

5682 S 3500 W Unit a
Roy, UT 84067-9108
Phone (801) 773-8644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1407720899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5682 S 3500 W UNIT A",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840679108",
            "telephone_number": "801-773-8644",
            "fax_number": "801-773-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5682 S 3500 W UNIT A",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840679108",
            "telephone_number": "801-773-8644",
            "fax_number": "801-773-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY PEDIATRIC DENTISTRY LLC DBA WEE CARE PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_title_or_position": "DENTAL PROVIDER",
        "authorized_official_telephone_number": "505-850-3769",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.