Richfield Kids Dental, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8669834-9923 Issued in UT

Legal business name

RICHFIELD KIDS DENTAL, PLLC

Practice address

178 W 1500 S
Suite 124
Richfield, UT 84701-7113

Phone

(435) 896-0118

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Trent Pryor, DMD

Title

Member

Phone

(208) 329-4580

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1457760654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W 1500 S",
            "address_2": "SUITE 124",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847017113",
            "telephone_number": "435-896-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 W 1500 S",
            "address_2": "SUITE 124",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847017113",
            "telephone_number": "435-896-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHFIELD KIDS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-329-4580",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "8669834-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Kristine Richards
• Richfield Behavioral Health
• Richfield Care Center, LLC
• Richfield Community Pharmacy LLC
• Richfield Family Dental
• Richfield Surgery Center, LLC
• Chynna Rickenbach
• Jennie Rioja
• Allene Roberts, BSN, RN
• Ben Carter Robinson, MD

• Pediatric Dentistry in Richfield, UT
• Providers in Richfield, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.