Organization Active NPI

Hobble Creek Dental Care

  • General Practice Dentistry
  • Springville, UT
National Provider Identifier
1689930117
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7652072-9922 Issued in UT
Legal business name
HOBBLE CREEK DENTAL CARE
Practice address
143 E 200 S
Springville, UT 84663-1915
Phone
(801) 489-4541
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Stephen William Pratt
Title
Owner
Phone
(801) 489-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7652072-9922 UT Primary

Addresses

Primary practice location

143 E 200 S
Springville, UT 84663-1915

Mailing address

143 E 200 S
Springville, UT 84663-1915
Phone (801) 489-4541

National Provider Directory

National Provider Directory

Locations

143 E 200 S
Springville, UT 84663
Phone (801) 361-0982

Practitioners & affiliated clinicians

Practitioners 3

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": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1689930117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E 200 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631915",
            "telephone_number": "801-489-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E 200 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631915",
            "telephone_number": "801-489-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBBLE CREEK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-489-4541",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7652072-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.