Piinnacle Dental Parrtners

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PIINNACLE DENTAL PARRTNERS

Practice address

533 W State Rd Ste 201
Pleasant Grove, UT 84062-2116

Phone

(385) 216-4421

NPI assigned

Aug 5, 2024

Organization subpart

Yes

Parent organization

PINNACLE DENTAL PARTNERSAs reported in NPPES

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

Authorized official

Name

Matthew Tanuvasa

Title

President

Phone

(385) 216-4421

Specialties & licenses 8

Addresses

Tax ID family

Piinnacle Dental Parrtners2 organizations share this tax ID, including this one

Part of

Piinnacle Dental Parrtners

Other organizations with this tax ID 1

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

• Pinnacle Dental Partners

  • Public Health Dentistry
  • Roosevelt, UT
  • NPI 1396579942
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pinnacle Dental Partners

  • Public Health Dentistry
  • Roosevelt, UT
  • NPI 1396579942
  NPPES parent name

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1629808779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W PALO VERDE WAY",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847381207",
            "telephone_number": "385-216-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W STATE RD STE 201",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622116",
            "telephone_number": "385-216-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIINNACLE DENTAL PARRTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE DENTAL PARTNERS",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "TANUVASA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "385-216-4421"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Christina Pickering
• Heather Rene Pickett, D.O.
• Mike J Pickett, CSW
• Melissa Pierce
• Sharrai Janae Pifer
• Natalie E Pitts, RBT
• K Brent Platt, LCSW
• Pleasant Grove City Corporation
• Nada Breanna Plooster, CSW
• Richard Omer Plothow

• Dentist in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.