Organization Active NPI

Romney Pediatric Dental, PLLC

  • Pediatric Dentistry
  • SLC, UT
National Provider Identifier
1598035172
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ROMNEY PEDIATRIC DENTAL, PLLC
Practice address
525 E 100 S Ste 430
SLC, UT 84102-2074
Phone
(801) 532-1402
Fax
(801) 328-3054
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Dr. L. Clark Romney, DMD
Title
Dentist
Phone
(307) 362-3125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

525 E 100 S Ste 430
SLC, UT 84102-2074

Mailing address

525 E 100 S Ste 430
Salt Lake City, UT 84102-2074
Phone (307) 362-3125

Other identifiers 1

IdentifierTypeStateIssuer
1598924078OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

525 E 100 S
Ste 430
Slc, UT 84102
Phone (801) 355-8677

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1598035172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 100 S STE 430",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022074",
            "telephone_number": "307-362-3125",
            "fax_number": "801-328-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 100 S STE 430",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841022074",
            "telephone_number": "801-532-1402",
            "fax_number": "801-328-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMNEY PEDIATRIC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "ROMNEY",
        "authorized_official_first_name": "L. CLARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-362-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598924078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.