NPIMap

Organization Active NPI

Lehi Pediatric Dentistry

  • Dental Clinic/Center
  • Lehi, UT
National Provider Identifier
1558663120
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5323980-9922 Issued in UT
Legal business name
LEHI PEDIATRIC DENTISTRY
Practice address
216 E Main St
Suite #3
Lehi, UT 84043-2231
Phone
(801) 768-0541
Fax
(801) 768-0541
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Hans Christian Petersen, D.M.D.
Title
Dr.
Phone
(801) 766-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5323980-9922 UT Primary

Addresses

Primary practice location

216 E Main St
Suite #3
Lehi, UT 84043-2231

Mailing address

216 E Main St.
Suite #3
Lehi, UT 84043-2231
Phone (801) 768-0541

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1558663120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E MAIN ST.",
            "address_2": "SUITE #3",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432231",
            "telephone_number": "801-768-0541",
            "fax_number": "801-768-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E MAIN ST",
            "address_2": "SUITE #3",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432231",
            "telephone_number": "801-768-0541",
            "fax_number": "801-768-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHI PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "801-766-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "5323980-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.