NPIMap

Organization Active NPI

Tooth Doctor - WVC PLLC

  • Dentist
  • West Valley City, UT
National Provider Identifier
1780198564
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
88136909922 Issued in UT
Legal business name
TOOTH DOCTOR - WVC PLLC
Practice address
3060 S Redwood Rd
West Valley City, UT 84119-3058
Phone
(801) 972-0555
NPI assigned
Nov 30, 2017
Organization subpart
Yes
Parent organization
TD OPERATIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Dr. Devin J Orvin, DDS
Title
President
Phone
(801) 989-7803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 88136909922 UT Primary

Addresses

Primary practice location

3060 S Redwood Rd
West Valley City, UT 84119-3058

Mailing address

3060 S Redwood Rd
West Valley City, UT 84119-3058
Phone (801) 972-0555

Other names 1

  • The Tooth Doctor Doing business as

National Provider Directory

National Provider Directory
Part of
TD Operations LLC

Locations

3060 S Redwood Rd
West Valley City, UT 84119
Phone (801) 972-0555

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1780198564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 S REDWOOD RD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193058",
            "telephone_number": "801-972-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 S REDWOOD RD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193058",
            "telephone_number": "801-972-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH DOCTOR - WVC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TD OPERATIONS LLC",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "ORVIN",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-989-7803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "88136909922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tooth Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.