NPIMap

Organization Active NPI

Station Park Dental

  • Dental Clinic/Center
  • Farmington, UT
National Provider Identifier
1689159147
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STATION PARK DENTAL
Practice address
1169 W Clark Lane
Ste 101
Farmington, UT 84025-2993
Phone
(801) 797-0068
Fax
(801) 260-2110
NPI assigned
Oct 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Ryan Blaine Allen, DDSNPI 1912286360
Title
Provider/Owner
Phone
(801) 797-0068

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1169 W Clark Lane
Ste 101
Farmington, UT 84025-2993

Mailing address

1169 W Clark Lane
Ste 101
Farmington, UT 84025-2993
Phone (801) 797-0068

National Provider Directory

National Provider Directory

Locations

1060 W Park Ln
Ste 110
Farmington, UT 84025
Phone (801) 797-0068

Practitioners & affiliated clinicians

Practitioners 4

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": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1689159147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 W CLARK LANE",
            "address_2": "STE 101",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252993",
            "telephone_number": "801-797-0068",
            "fax_number": "801-260-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 W CLARK LANE",
            "address_2": "STE 101",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252993",
            "telephone_number": "801-797-0068",
            "fax_number": "801-260-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATION PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "801-797-0068",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.