Station Park Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

STATION PARK PEDIATRIC DENTISTRY

Practice address

1195 West Park LN
Farmington, UT 84025

Phone

(801) 882-8800

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. James Doll, DMDNPI 1770712838

Title

Board Certified Pediatric Dentist

Phone

(480) 278-6749

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boardwalk Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• James Daniel Doll, DMD

  • Pediatric Dentistry
  • Farmington, UT
  • NPI 1770712838
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1689300360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 WEST PARK LN",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "801-882-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 WEST PARK LN",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "801-882-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATION PARK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "BOARD CERTIFIED PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "480-278-6749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770712838",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boardwalk Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Jean Sphar, DNP/FNP-C
• Silvia Francesca Splattstoesser, ACMHC
• Rachelle Andersen Spurlin, FNP-C
• Station Park Counseling
• Station Park Dental
• McKenzie Elise Stenberg, PA-C
• Jacob Patrick Stephenson, D.O.
• Stettler Medical Monitoring, LCC
• Peggy Stevenson
• Megan Stewart, LMT

• Pediatric Dentistry in Farmington, UT
• Providers in Farmington, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.