NPIMap

Organization Active NPI

KDB, LLC

  • Dental Clinic/Center
  • Eagle Mountain, UT
National Provider Identifier
1447549837
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49554449923 Issued in UT
Legal business name
KDB, LLC
Practice address
3688 Campus Dr Ste 220
Eagle Mountain, UT 84005-4669
Phone
(801) 341-7999
NPI assigned
Apr 6, 2011
Organization subpart
Yes
Parent organization
ERIC E. MARTIN, DDS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Eric Martin, DDS
Title
President/Pediatric Dentist
Phone
(801) 676-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49554449923 UT Primary

Addresses

Primary practice location

3688 Campus Dr Ste 220
Eagle Mountain, UT 84005-4669

Mailing address

3688 Campus Dr Ste 220
Eagle Mountain, UT 84005-4669

Other names 1

  • Kids Dental Barn Doing business as

National Provider Directory

National Provider Directory
Part of
Eric E Martin DDS PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1447549837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 CAMPUS DR STE 220",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 CAMPUS DR STE 220",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054669",
            "telephone_number": "801-341-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERIC E. MARTIN, DDS, PC",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "801-676-8899",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "49554449923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Barn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.