NPIMap

Organization Active NPI

Godfrey Family Dental LLC

  • Dental Clinic/Center
  • Kaysville, UT
National Provider Identifier
1497320121
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GODFREY FAMILY DENTAL LLC
Practice address
475 N 300 W Ste 1
Kaysville, UT 84037-3112
Phone
(801) 546-2413
Fax
(801) 546-1900
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Dr. Christopher Robert Godfrey, DMD
Title
Owner
Phone
(801) 663-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

475 N 300 W Ste 1
Kaysville, UT 84037-3112

Mailing address

2087 N 725 W
Centerville, UT 84014-3465
Phone (801) 663-6144

Other practice location 1

2087 N 725 W
Centerville, UT 84014-3465
Phone (801) 663-6076

Other names 1

  • Lifetime Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

475 N 300 W
Ste 1
Kaysville, UT 84037
Phone (801) 546-2413

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": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1497320121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 N 725 W",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840143465",
            "telephone_number": "801-663-6144",
            "fax_number": "801-546-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 N 300 W STE 1",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840373112",
            "telephone_number": "801-546-2413",
            "fax_number": "801-546-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2087 N 725 W",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "UT",
            "postal_code": "840143465",
            "country_code": "US",
            "telephone_number": "801-663-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GODFREY FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-663-6144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifetime Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.