Organization Active NPI

Wasatch Family Dentistry

  • General Practice Dentistry
  • Heber City, UT
National Provider Identifier
1477649697
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
373732-9922 Issued in UT
Legal business name
WASATCH FAMILY DENTISTRY
Practice address
380 E 1500 S
#203
Heber City, UT 84032
Phone
(435) 654-4500
Fax
(435) 654-3728
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Reed D Lobrot, DDSNPI 1508008491
Title
Pres
Phone
(435) 654-4500

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 SINGLE SPECIALTY GROUP 1223G0001X 373732-9922 UT Primary

Addresses

Primary practice location

380 E 1500 S
#203
Heber City, UT 84032

Mailing address

380 E 1500 S
#203
Heber City, UT 84032
Phone (435) 654-4500

Other names 1

  • Back of the Wasatch Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

380 E 1500 S
Ste 203
Heber City, UT 84032
Phone (435) 654-4500

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1477649697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 1500 S",
            "address_2": "#203",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "84032",
            "telephone_number": "435-654-4500",
            "fax_number": "435-654-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 1500 S",
            "address_2": "#203",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "84032",
            "telephone_number": "435-654-4500",
            "fax_number": "435-654-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "LOBROT",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "435-654-4500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "373732-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back of the Wasatch Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.