Organization Active NPI

Desert Endodontics LLC

  • Endodontics
  • St George, UT
National Provider Identifier
1437598521
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DESERT ENDODONTICS LLC
Practice address
1224 S River Rd Ste 2
Saint George, UT 84790-8285
Phone
(435) 674-7430
Fax
(435) 674-4431
NPI assigned
Jun 21, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Daniel Bethers, DONPI 1376745661
Title
Managing Partner
Phone
(435) 674-7430

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1224 S River Rd Ste 2
Saint George, UT 84790-8285

Mailing address

1224 S River Rd Ste 2
Saint George, UT 84790-8285
Phone (435) 674-7430

National Provider Directory

National Provider Directory

Locations

1224 S River Rd
Ste 2
Saint George, UT 84790
Phone (435) 674-7430

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": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1437598521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 S RIVER RD STE 2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908285",
            "telephone_number": "435-674-7430",
            "fax_number": "435-674-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 S RIVER RD STE 2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908285",
            "telephone_number": "435-674-7430",
            "fax_number": "435-674-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "BETHERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "435-674-7430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.