NPIMap

Organization Active NPI

Ismile Implant and Surgical Centera

  • Dentist
  • Kaysville, UT
National Provider Identifier
1427486000
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8367155 Issued in UT
Legal business name
ISMILE IMPLANT AND SURGICAL CENTERA
Practice address
306 N Main St
Kaysville, UT 84037-6766
Phone
(801) 879-2343
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Jessica Russell
Title
Office Manager
Phone
(801) 879-2343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8367155 UT Primary

Addresses

Primary practice location

306 N Main St
Kaysville, UT 84037-6766

Mailing address

306 N Main St
Kaysville, UT 84037-6766
Phone (801) 879-2343

National Provider Directory

National Provider Directory
Tax ID family
I Smile Implant Centers PLLC2 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.

Locations

306 N Main St
Kaysville, UT 84037
Phone (385) 304-4516

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1427486000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840376766",
            "telephone_number": "801-879-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840376766",
            "telephone_number": "801-879-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE IMPLANT AND SURGICAL CENTERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-879-2343"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "8367155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.