NPIMap

Organization Active NPI

Cardon Endodontics PC

  • Endodontics
  • Spanish Fork, UT
National Provider Identifier
1447652896
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9074817 Issued in UT
Legal business name
CARDON ENDODONTICS PC
Doing business as
Maple Ridge Endodontics
Practice address
41 E 500 N
Spanish Fork, UT 84660-1515
Phone
(801) 504-6295
Fax
(801) 504-6548
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Bryan Cardon, DMDNPI 1255313680
Title
President
Phone
(801) 504-6295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 9074817 UT Primary

Addresses

Primary practice location

41 E 500 N
Spanish Fork, UT 84660-1515

Mailing address

41 E 500 N
Spanish Fork, UT 84660-1515
Phone (801) 504-6295

Other names 1

  • Maple Ridge Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

41 E 500 N
Spanish Fork, UT 84660
Phone (801) 504-6295

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1447652896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E 500 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601515",
            "telephone_number": "801-504-6295",
            "fax_number": "801-504-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 500 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601515",
            "telephone_number": "801-504-6295",
            "fax_number": "801-504-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDON ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-504-6295",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "9074817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Ridge Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.