Organization Active NPI

TMJ and Sleep Therapy of Utah LLC

  • Clinic/Center
  • Payson, UT
National Provider Identifier
1619736535
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TMJ AND SLEEP THERAPY OF UTAH LLC
Practice address
33 West 300 South
Payson, UT 84651
Phone
(801) 465-3233
Fax
(801) 331-0013
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Kristopher C Gunnerson, DMD
Title
Ceo/Provider/Owner
Phone
(801) 360-4246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

33 West 300 South
Payson, UT 84651

Mailing address

33 West 300 South
Payson, UT 84651
Phone (801) 465-3233

Other names 1

  • TMJ & Sleep Therapy Centre of Utah Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1619736535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WEST 300 SOUTH",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "84651",
            "telephone_number": "801-465-3233",
            "fax_number": "801-331-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WEST 300 SOUTH",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "84651",
            "telephone_number": "801-465-3233",
            "fax_number": "801-331-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ AND SLEEP THERAPY OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "GUNNERSON",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PROVIDER/OWNER",
        "authorized_official_telephone_number": "801-360-4246",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMJ & Sleep Therapy Centre of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.