Kevin Clifford, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9799604-9922 Issued in UT

Practice address

302 N Main St
Kaysville, UT 84037-6766

Phone

(801) 544-3953

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ismile at Kaysville LLC

  • General Practice Dentistry
  • Kaysville, UT
  • NPI 1972926111
  NPD (past)
• Ismile at SLC

  • Dentist
  • Kaysville, UT
  • NPI 1154744399
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1730539552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S 400 E",
            "address_2": "APT. 417",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112160",
            "telephone_number": "818-437-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840376766",
            "telephone_number": "801-544-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9799604-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark B. Rampton, D.D.S., P.C.
• Jeffrey G. Clark, M.D.
• Stephen Travis Clark, D.O.
• Christine Marye Cleveland
• Clever Thinking Therapy LLC
• Coded Wellness
• Cold Creek Wellness Center
• Comfort Worx Hospice of Utah
• Courageous Hope Counseling LLC
• Couser Orthodontics, LLC

• General Practice Dentistry in Kaysville, UT
• Providers in Kaysville, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.