Organization Active NPI

Ridge Line Dental L.L.C.

  • General Practice Dentistry
  • Layton, UT
National Provider Identifier
1609739713
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIDGE LINE DENTAL L.L.C.
Practice address
2185 N 1700 W
#202
Layton, UT 84041
Phone
(801) 773-5460
NPI assigned
Dec 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Reve Warner Chaston, D.D.S.,M.S.D.
Title
Owner
Phone
(801) 773-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2185 N 1700 W
#202
Layton, UT 84041

Mailing address

2185 N 1700 W
#202
Layton, UT 84041
Phone (801) 773-5460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1609739713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 N 1700 W",
            "address_2": "#202",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-773-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 N 1700 W",
            "address_2": "#202",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-773-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE LINE DENTAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "CHASTON",
        "authorized_official_first_name": "REVE",
        "authorized_official_middle_name": "WARNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-773-5460",
        "authorized_official_credential": "D.D.S.,M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.