Stansbury Pediatric Dentistry and Orthodontics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4753208-9923 Issued in UT

Legal business name

STANSBURY PEDIATRIC DENTISTRY AND ORTHODONTICS

Doing business as

Dentistry 4 The kids

Practice address

220 Millpond
Suite #106
Stansbury Park, UT 84074-9745

Phone

(435) 840-1025

Fax

(435) 882-2680

NPI assigned

Nov 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Trisha Richard Taylor, DMD

Title

Dentist

Phone

(435) 840-1025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dentistry 4 The kids Doing business as

Locations

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195257600000",
    "number": "1679754766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1249",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741249",
            "telephone_number": "435-840-1025",
            "fax_number": "435-882-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MILLPOND",
            "address_2": "SUITE #106",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749745",
            "telephone_number": "435-840-1025",
            "fax_number": "435-882-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANSBURY PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "435-840-1025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "4753208-9923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296664784000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry 4 The kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stansbury Dental and Implant Center PDC PLLC
• Stansbury Park Dental Care
• Stansbury Park Orthodontics
• Stansbury Park Pediatric Dentistry
• Stansbury Pediatric Dentistry
• Stansbury Pediatrics, Inc
• Trent Jacob Steele, ATC
• Shelby Ann Straley, RDN
• Katie Camille Tayon
• Trusty Medical Transport

• Pediatric Dentistry in Stansbury Park, UT
• Providers in Stansbury Park, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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.