Mountain View Pediatric Dentistry of North Salt Lake PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MOUNTAIN VIEW PEDIATRIC DENTISTRY OF NORTH SALT LAKE PC

Practice address

420 N Redwood Rd Unit D
North Salt Lake, UT 84054-2810

Phone

(801) 292-5437

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Cameron Quayle, DDS

Title

Doctor/Owner

Phone

(801) 292-5437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1619327699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NORTH REDWOOD ROAD, UNIT D",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N REDWOOD RD UNIT D",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542810",
            "telephone_number": "801-292-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PEDIATRIC DENTISTRY OF NORTH SALT LAKE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "QUAYLE",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "801-292-5437",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.