NPIMap

Organization Active NPI

Russell Seamons DMD PC

  • Dentist
  • Roy, UT
National Provider Identifier
1659714392
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1409289922 Issued in UT
Legal business name
RUSSELL SEAMONS DMD PC
Practice address
4902 S 1900 W
Ste 2
Roy, UT 84067-2993
Phone
(801) 773-1234
Fax
(801) 773-9611
NPI assigned
Apr 11, 2013
Last updated
Apr 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Dr. Russell Glenn Seamons, D.M.D.
Title
President
Phone
(801) 773-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1409289922 UT Primary

Addresses

Primary practice location

4902 S 1900 W
Ste 2
Roy, UT 84067-2993

Mailing address

4902 S 1900 W
Ste 2
Roy, UT 84067-2993
Phone (801) 773-1234

National Provider Directory

National Provider Directory

Locations

4902 S 1900 W
Ste 2
Roy, UT 84067
Phone (801) 773-1234

Practitioners & affiliated clinicians

Practitioners 3

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": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1659714392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 S 1900 W",
            "address_2": "STE 2",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672993",
            "telephone_number": "801-773-1234",
            "fax_number": "801-773-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 S 1900 W",
            "address_2": "STE 2",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672993",
            "telephone_number": "801-773-1234",
            "fax_number": "801-773-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL SEAMONS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "SEAMONS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-773-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "1409289922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.