Active NPI
KDST Dental
- General Practice Dentistry
- American Fork, UT
National Provider Identifier
1508528761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KDST DENTAL
- Practice address
- 291 N 300 E Ste B
American Fork, UT 84003-1881 - Phone
- (801) 756-0933
- NPI assigned
- Oct 5, 2021
- Organization subpart
- Yes
- Parent organization
- KDST DENTAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott A. Tracy, DDS
- Title
- Manager, Member
- Phone
- (801) 756-0933
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
291 N 300 E Ste B
American Fork, UT 84003-1881
Mailing address
291 N 300 E Ste B
American Fork, UT 84003-1881
Phone (801) 756-0933
Other names 1
- Brite Family Dental
National Provider Directory
National Provider Directory- Part of
- KDST Dental
Locations
291 N 300 E
Ste B
American Fork, UT 84003
Phone (801) 756-0933
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- American Fork, UT
- NPI 1114978863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633392000000",
"number": "1508528761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 N 300 E STE B",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840031881",
"telephone_number": "801-756-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 N 300 E STE B",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840031881",
"telephone_number": "801-756-0933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KDST DENTAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KDST DENTAL",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A",
"authorized_official_last_name": "TRACY",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "MANAGER, MEMBER",
"authorized_official_telephone_number": "801-756-0933",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brite Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}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 Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.