Organization Active NPI

West Valley Dental Group Inc

Doing business as Mtn View Dental Care

  • General Practice Dentistry
  • West Jordan, UT
National Provider Identifier
1407961055
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
130519 Issued in UT
Legal business name
WEST VALLEY DENTAL GROUP INC
Doing business as
Mtn View Dental Care
Practice address
6783 Redwood Rd
Suite 201
West Jordan, UT 84084-2404
Phone
(801) 969-8200
Fax
(801) 261-8280
NPI assigned
Aug 21, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Robert O Boyer, DDS MAGDNPI 1285753343
Title
President
Phone
(801) 969-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 130519 UT Primary
General Practice Dentistry 1223G0001X 135611 UT
General Practice Dentistry 1223G0001X 142863 UT
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 130519 UT

Addresses

Primary practice location

6783 Redwood Rd
Suite 201
West Jordan, UT 84084-2404

Mailing address

6783 Redwood Rd
Suite 201
West Jordan, UT 84084-2404
Phone (801) 969-8200

Other names 1

  • Mtn View Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

6783 S Redwood Rd
Ste 201
West Jordan, UT 84084
Phone (801) 969-8200

Practitioners & affiliated clinicians

Practitioners 2

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1407961055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6783 REDWOOD RD",
            "address_2": "SUITE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842404",
            "telephone_number": "801-969-8200",
            "fax_number": "801-261-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6783 REDWOOD RD",
            "address_2": "SUITE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842404",
            "telephone_number": "801-969-8200",
            "fax_number": "801-261-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-969-8200",
        "authorized_official_credential": "DDS MAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "130519",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "135611",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142863",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "130519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mtn View Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.