NPIMap

Organization Active NPI

White Mountain Dental

  • General Practice Dentistry
  • Rock Springs, WY
National Provider Identifier
1497988356
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1216 Issued in WY
Legal business name
WHITE MOUNTAIN DENTAL
Practice address
2701 Foothill Blvd
Rock Springs, WY 82901-4889
Phone
(307) 362-2220
Fax
(307) 362-2322
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Tyler Barney CarlsonNPI 1952558652
Title
Owner/Dentist
Phone
(307) 362-2220

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 1216 WY Primary

Addresses

Primary practice location

2701 Foothill Blvd
Rock Springs, WY 82901-4889

Mailing address

2701 Foothill Blvd
Rock Springs, WY 82901-4889
Phone (307) 362-2220

National Provider Directory

National Provider Directory

Locations

2701 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 362-2220

Practitioners & affiliated clinicians

Practitioners 3

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": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1497988356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 FOOTHILL BLVD",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014889",
            "telephone_number": "307-362-2220",
            "fax_number": "307-362-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 FOOTHILL BLVD",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014889",
            "telephone_number": "307-362-2220",
            "fax_number": "307-362-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "BARNEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "307-362-2220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.