Organization Active NPI

Young Family Dental

  • General Practice Dentistry
  • Orem, UT
National Provider Identifier
1689715898
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4766943-9922 Issued in UT
Legal business name
YOUNG FAMILY DENTAL
Practice address
1834 S State St
Orem, UT 84097-8109
Phone
(801) 224-0222
Fax
(801) 226-7560
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Susan J John
Title
Office Manager
Phone
(801) 224-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4766943-9922 UT Primary

Addresses

Primary practice location

1834 S State St
Orem, UT 84097-8109

Mailing address

1834 S State St
Orem, UT 84097-8109
Phone (801) 224-0222

National Provider Directory

National Provider Directory
Tax ID family
Young Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8159 S 4800 W
West Jordan, UT 84088
Phone (801) 601-8200

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1689715898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978109",
            "telephone_number": "801-224-0222",
            "fax_number": "801-226-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978109",
            "telephone_number": "801-224-0222",
            "fax_number": "801-226-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-224-0222"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4766943-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.