Organization Active NPI

Brothers Gardiner LLC

Doing business as family first dentistry

  • General Practice Dentistry
  • Eagle Mountain, UT
National Provider Identifier
1740678044
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BROTHERS GARDINER LLC
Doing business as
family first dentistry
Practice address
3700 Campus Dr
Ste 200a
Eagle Mountain, UT 84005-4505
Phone
(801) 789-4414
Fax
(801) 789-4415
NPI assigned
Jan 8, 2015
Last updated
Jan 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Mrs. Brytnie Holman
Title
Office Manager
Phone
(801) 789-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3700 Campus Dr
Ste 200a
Eagle Mountain, UT 84005-4505

Mailing address

3700 Campus Dr
Ste 200a
Eagle Mountain, UT 84005-4505
Phone (801) 789-4414

Other names 1

  • family first dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3700 E Campus Dr
Ste 200A
Eagle Mountain, UT 84005
Phone (801) 789-4414

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1740678044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CAMPUS DR",
            "address_2": "STE 200A",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054505",
            "telephone_number": "801-789-4414",
            "fax_number": "801-789-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CAMPUS DR",
            "address_2": "STE 200A",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054505",
            "telephone_number": "801-789-4414",
            "fax_number": "801-789-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS GARDINER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "BRYTNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-789-4414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family first dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.