NPIMap

Organization Active NPI

Elite Dental

  • General Practice Dentistry
  • American Fork, UT
National Provider Identifier
1477892685
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5070492-9922 Issued in UT
Legal business name
ELITE DENTAL
Practice address
218 N West State Rd
American Fork, UT 84003-1419
Phone
(801) 763-7737
Fax
(801) 763-7757
NPI assigned
Feb 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. Steven Braithwaite, D.D.S.NPI 1073531323
Title
Owner
Phone
(801) 763-7737

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5148371-9922 UT
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5070492-9922 UT Primary

Addresses

Primary practice location

218 N West State Rd
American Fork, UT 84003-1419

Mailing address

218 N West State Rd
American Fork, UT 84003-1419
Phone (801) 763-7737

National Provider Directory

National Provider Directory

Locations

218 N West State Rd
American Fork, UT 84003
Phone (801) 763-7737

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": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1477892685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N WEST STATE RD",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031419",
            "telephone_number": "801-763-7737",
            "fax_number": "801-763-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N WEST STATE RD",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031419",
            "telephone_number": "801-763-7737",
            "fax_number": "801-763-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BRAITHWAITE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-763-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5148371-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5070492-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.