Organization Active NPI

Dinosaurland Pediatrics

  • Specialist
  • Vernal, UT
National Provider Identifier
1700071024
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DINOSAURLAND PEDIATRICS
Practice address
175 N 100 W
Ste 106
Vernal, UT 84078-2049
Phone
(435) 789-9060
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Shawna L Laroque
Title
Office Manager
Phone
(435) 789-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

175 N 100 W
Ste 106
Vernal, UT 84078-2049

Mailing address

175 N 100 W
Ste 106
Vernal, UT 84078-2049

National Provider Directory

National Provider Directory

Locations

175 N 100 W
Ste 106
Vernal, UT 84078
Phone (435) 789-1165

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1700071024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N 100 W",
            "address_2": "STE 106",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N 100 W",
            "address_2": "STE 106",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782049",
            "telephone_number": "435-789-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINOSAURLAND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "LAROQUE",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-789-9060"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.