Organization Active NPI

All Around Dental Care, LC

  • Dentist
  • Provo, UT
National Provider Identifier
1700295227
Registry record updated May 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
334005 Issued in UT
Legal business name
ALL AROUND DENTAL CARE, LC
Practice address
777 N 500 W
Ste 106
Provo, UT 84601-1541
Phone
(801) 356-8420
Fax
(801) 356-8510
NPI assigned
Aug 8, 2014
Organization subpart
Yes
Parent organization
ALL AROUND DENTAL CARE, LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2015

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

Authorized official

Name
Dr. John Peter Weber, D.D.S.
Title
Manager
Phone
(801) 900-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 334005 UT Primary

Addresses

Primary practice location

777 N 500 W
Ste 106
Provo, UT 84601-1541

Mailing address

777 N 500 W
Ste 106
Provo, UT 84601-1541
Phone (801) 356-8420

Other identifiers 5

IdentifierTypeStateIssuer
1871597138MedicaidCA
1134408156MedicaidUT
1467688564MedicaidUT
1780939348MedicaidUT
1801945092MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
All Around Dental Care4 organizations share this tax ID, including this one
Part of
All Around Dental Care

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432512000000",
    "number": "1700295227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N 500 W",
            "address_2": "STE 106",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011541",
            "telephone_number": "801-356-8420",
            "fax_number": "801-356-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N 500 W",
            "address_2": "STE 106",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011541",
            "telephone_number": "801-356-8420",
            "fax_number": "801-356-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AROUND DENTAL CARE, LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALL AROUND DENTAL CARE, LC",
        "enumeration_date": "2014-08-08",
        "last_updated": "2015-05-25",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-900-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "334005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871597138",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134408156",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467688564",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780939348",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801945092",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; 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.