Active NPI
Lakeview Dental Coorperation
- Dentist
- Roy, UT
National Provider Identifier
1710188933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5370773990001
- Legal business name
- LAKEVIEW DENTAL COORPERATION
- Practice address
- 3626 W 5600 S
Roy, UT 84067-9161 - Phone
- (801) 985-2273
- Fax
- (801) 459-8781
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James V Anderson, D.M.D.
- Title
- Owner
- Phone
- (801) 985-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5370773990001 | OR | Primary |
Addresses
Primary practice location
3626 W 5600 S
Roy, UT 84067-9161
Mailing address
3626 W 5600 S
Roy, UT 84067-9161
Phone (801) 985-2273
National Provider Directory
National Provider DirectoryLocations
3626 W 5600 S
Roy, UT 84067
Phone (801) 985-2273
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Roy, UT
- NPI 1013237262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710188933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 W 5600 S",
"city": "ROY",
"state": "UT",
"postal_code": "840679161",
"telephone_number": "801-985-2273",
"fax_number": "801-459-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 W 5600 S",
"city": "ROY",
"state": "UT",
"postal_code": "840679161",
"telephone_number": "801-985-2273",
"fax_number": "801-459-8781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW DENTAL COORPERATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-985-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OR",
"license": "5370773990001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.