Active NPI
V and S Dental LLC
- Dental Clinic/Center
- Riverton, UT
National Provider Identifier
1740829993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- V AND S DENTAL LLC
- Practice address
- 3816 W 13400 S Ste 200
Riverton, UT 84065-7888 - Phone
- (385) 444-7030
- NPI assigned
- Jan 4, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Waltraud Hebert, RDH
- Title
- Owner
- Phone
- (385) 444-7030
National Provider Directory
National Provider DirectoryLocations
3816 W 13400 S
Ste 200
Riverton, UT 84065
Phone (385) 444-7030
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3816 W 13400 S Ste 200
Riverton, UT 84065-7888
Mailing address
3816 W 13400 S Ste 200
Riverton, UT 84065-7888
Phone (385) 444-7030
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851768063 | Medicaid | UT |
Other names 1
NPPES NPI Registry- Smiles for Everyone
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2020.
{
"created_epoch": "1578096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578096000000",
"number": "1740829993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 W 13400 S STE 200",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657888",
"telephone_number": "385-444-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 W 13400 S STE 200",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657888",
"telephone_number": "385-444-7030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "V AND S DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-04",
"last_updated": "2020-01-04",
"certification_date": "2020-01-04",
"status": "A",
"authorized_official_last_name": "HEBERT",
"authorized_official_first_name": "WALTRAUD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "385-444-7030",
"authorized_official_credential": "RDH"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851768063",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Smiles for Everyone",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.