NPIMap

Organization Active NPI

Fort Union Family Dental, P.C

  • General Practice Dentistry
  • Midvale, UT
National Provider Identifier
1467744029
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4920693 Issued in UT
Legal business name
FORT UNION FAMILY DENTAL, P.C
Practice address
942 E 7145 S
Suite A108
Midvale, UT 84047-1764
Phone
(801) 562-2147
Fax
(801) 569-1795
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Jeremy Brian Abrams, D.M.DNPI 1336228972
Title
President
Phone
(801) 562-2147

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 Dentistry 1223G0001X 4920693 UT Primary

Addresses

Primary practice location

942 E 7145 S
Suite A108
Midvale, UT 84047-1764

Mailing address

942 E 7145 S
Suite A108
Midvale, UT 84047-1764
Phone (801) 562-2147

National Provider Directory

National Provider Directory
Tax ID family
Ashley Valley Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1467744029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 E 7145 S",
            "address_2": "SUITE A108",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471764",
            "telephone_number": "801-562-2147",
            "fax_number": "801-569-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 E 7145 S",
            "address_2": "SUITE A108",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471764",
            "telephone_number": "801-562-2147",
            "fax_number": "801-569-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT UNION FAMILY DENTAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-562-2147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4920693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

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