Children'S Dental of Cedar City

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6329558-9923 Issued in UT

Legal business name

CHILDREN'S DENTAL OF CEDAR CITY

Practice address

1321 S Providence Center Dr
Cedar City, UT 84720-7985

Phone

(435) 586-6555

Fax

(435) 586-6602

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Jack Scholzen, DMDNPI 1063596104

Title

Doctor / Owner

Phone

(435) 586-6555

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jeremy Scholzen, DMD

  • Pediatric Dentistry
  • Hurricane, UT
  • NPI 1063596104
  NPD (past) Authorized official
• Brandon Spencer, DMD

  • Pediatric Dentistry
  • Rochester Hills, MI
  • NPI 1538137534
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1457767840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 700 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372423",
            "telephone_number": "435-586-6555",
            "fax_number": "435-586-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S PROVIDENCE CENTER DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847207985",
            "telephone_number": "435-586-6555",
            "fax_number": "435-586-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL OF CEDAR CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "SCHOLZEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "435-586-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "6329558-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Chell
• Jaron Maclinn Chesley, SLP
• Wager Chesley
• Amelia Chesnut
• Roger Devin Chestnut II, MMP
• Chiropractic Supply Network
• Avery Choate
• Justyn Michael Chris, ACMHC, SUDC
• Cade Norman Christensen
• Ryan Eslie Christensen, RBT

• Pediatric Dentistry in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.