Salt Falts Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SALT FALTS DENTISTRY

Practice address

5069 W 13400 S Ste 200
Riverton, UT 84096-6602

Phone

(385) 766-1717

Fax

(385) 393-1315

NPI assigned

Dec 11, 2021

Organization subpart

No

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

Authorized official

Name

Emilie Brannelly

Title

Office Manager

Phone

(385) 766-1717

Specialties & licenses 1

Addresses

Other names 1

• Salt Falts Dentistry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Spencer Ray, DMD

  • Dentist
  • Riverton, UT
  • NPI 1609661636
  NPD

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639180800000",
    "number": "1649939232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5069 W 13400 S STE 200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966602",
            "telephone_number": "385-766-1717",
            "fax_number": "385-393-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5069 W 13400 S STE 200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966602",
            "telephone_number": "385-766-1717",
            "fax_number": "385-393-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT FALTS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A",
        "authorized_official_last_name": "BRANNELLY",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "385-766-1717"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt Falts Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diana Silvana Roybal
• Corinne Russell, RDH
• Jimmy Lynn Ryan, M.D.
• Jaime L Salmon, PHARMD, RPH, CDM
• Kimberly Salmon
• Amber Sandoval, LMT
• Katherine Jean Sardoni, FNP
• Scott Schauss, PA-C
• Kristin Schelin, ATC-L, CSCS
• Erik Schlobohm, D.C.

• General Practice Dentistry in Riverton, UT
• Providers in Riverton, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.