NPIMap

Organization Active NPI

Pitt Family Dental

  • General Practice Dentistry
  • Centerville, UT
National Provider Identifier
1467588004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
134487 Issued in UT
Legal business name
PITT FAMILY DENTAL
Practice address
281 South Main
Centerville, UT 84014
Phone
(801) 295-6192
Fax
(801) 295-6011
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jason Pitt, DDSNPI 1386840650
Title
President
Phone
(801) 295-6192

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 134487 UT Primary

Addresses

Primary practice location

281 South Main
Centerville, UT 84014

Mailing address

PO Box 428
281 South Main
Centerville, UT 84014
Phone (801) 295-6192

Other identifiers 1

IdentifierTypeStateIssuer
529566754005MedicaidUT

National Provider Directory

National Provider Directory

Locations

281 S Main St
Centerville, UT 84014
Phone (801) 292-0733

Practitioners & affiliated clinicians

Practitioners 3

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467588004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "address_2": "281 SOUTH MAIN",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "84014",
            "telephone_number": "801-295-6192",
            "fax_number": "801-295-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SOUTH MAIN",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "84014",
            "telephone_number": "801-295-6192",
            "fax_number": "801-295-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITT FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-295-6192",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "134487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529566754005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.