Organization Active NPI

West 56TH Dental Associates, Inc

  • General Practice Dentistry
  • West Valley City, UT
National Provider Identifier
1669691945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
142830 Issued in UT
Legal business name
WEST 56TH DENTAL ASSOCIATES, INC
Practice address
3444 S 5600 W
West Valley City, UT 84120-1320
Phone
(801) 964-0444
Fax
(801) 963-1270
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd Alan Bowman Sr., D.M.D.NPI 1972722353
Title
President
Phone
(801) 964-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 142830 UT Primary

Addresses

Primary practice location

3444 S 5600 W
West Valley City, UT 84120-1320

Mailing address

12045 Lampton View Dr
Riverton, UT 84065-7834
Phone (801) 964-0444

National Provider Directory

National Provider Directory

Locations

3444 S 5600 W
West Valley City, UT 84120
Phone (801) 964-0444

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669691945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 LAMPTON VIEW DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657834",
            "telephone_number": "801-964-0444",
            "fax_number": "801-963-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 S 5600 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841201320",
            "telephone_number": "801-964-0444",
            "fax_number": "801-963-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 56TH DENTAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-964-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.