NPIMap

Organization Active NPI

Youngfamilydentalaf

  • General Practice Dentistry
  • American Fork, UT
National Provider Identifier
1629119409
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4766943-9922 Issued in UT
Legal business name
YOUNGFAMILYDENTALAF
Practice address
483 E 200 S
American Fork, UT 84003-2503
Phone
(801) 756-7173
Fax
(801) 756-4577
NPI assigned
Feb 12, 2007
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
YOUNG FAMILY DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Susan J. John
Title
Office Manager
Phone
(801) 756-7173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4766943-9922 UT Primary

Addresses

Primary practice location

483 E 200 S
American Fork, UT 84003-2503

Mailing address

483 E 200 S
American Fork, UT 84003-6279
Phone (801) 756-7173

National Provider Directory

National Provider Directory
Tax ID family
Young Family Dental Inc2 organizations share this tax ID, including this one
Part of
Young Family Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1629119409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 E 200 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840036279",
            "telephone_number": "801-756-7173",
            "fax_number": "801-756-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 E 200 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032503",
            "telephone_number": "801-756-7173",
            "fax_number": "801-756-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGFAMILYDENTALAF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG FAMILY DENTAL INC",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-756-7173"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4766943-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.