NPIMap

Organization Active NPI

Children's Landing Pediatric Dentistry, PC

  • Pediatric Dentistry
  • West Jordan, UT
National Provider Identifier
1609438357
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S LANDING PEDIATRIC DENTISTRY, PC
Doing business as
Children's Landing Pediatric Dentistry, PC
Practice address
3855 W 7800 S Ste 200
West Jordan, UT 84088-5563
Phone
(801) 282-1802
Fax
(801) 282-6244
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Michael C Tew, DDSNPI 1356306872
Title
Owner
Phone
(801) 282-1802

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

3855 W 7800 S Ste 200
West Jordan, UT 84088-5563

Mailing address

3855 W 7800 S Ste 200
West Jordan, UT 84088-5563
Phone (801) 282-1802

Other names 1

  • Children's Landing Pediatric Dentistry, PC Doing business as

National Provider Directory

National Provider Directory

Locations

3855 W 7800 S
Ste 200
West Jordan, UT 84088
Phone (801) 282-1802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1609438357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 W 7800 S STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885563",
            "telephone_number": "801-282-1802",
            "fax_number": "801-282-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 W 7800 S STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885563",
            "telephone_number": "801-282-1802",
            "fax_number": "801-282-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S LANDING PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "TEW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-282-1802",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Landing Pediatric Dentistry, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.