NPIMap

Organization Active NPI

Woodland Park Dental P.C.

  • General Practice Dentistry
  • Layton, UT
National Provider Identifier
1477696235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
358446-9923 Issued in UT
Legal business name
WOODLAND PARK DENTAL P.C.
Practice address
880 Heritage Park Blvd
Suite 220
Layton, UT 84041-5676
Phone
(801) 728-4688
Fax
(801) 728-4868
NPI assigned
Feb 14, 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
Dr. Caesar R. Hearne, D.D.S.NPI 1124161948
Title
Dentist
Phone
(801) 728-4688

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 358446-9923 UT Primary

Addresses

Primary practice location

880 Heritage Park Blvd
Suite 220
Layton, UT 84041-5676

Mailing address

880 Heritage Park Blvd
Suite 220
Layton, UT 84041-5676
Phone (801) 728-4688

National Provider Directory

National Provider Directory

Locations

880 Heritage Park Blvd
Ste 220
Layton, UT 84041
Phone (801) 728-4688

Practitioners & affiliated clinicians

Practitioners 2

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477696235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 HERITAGE PARK BLVD",
            "address_2": "SUITE 220",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415676",
            "telephone_number": "801-728-4688",
            "fax_number": "801-728-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 HERITAGE PARK BLVD",
            "address_2": "SUITE 220",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415676",
            "telephone_number": "801-728-4688",
            "fax_number": "801-728-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND PARK DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEARNE",
        "authorized_official_first_name": "CAESAR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-728-4688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "358446-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, 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.