NPIMap

Organization Active NPI

Staples Dental Care

  • Dentist
  • St George, UT
National Provider Identifier
1790897064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
133766 Issued in UT
Legal business name
STAPLES DENTAL CARE
Practice address
427 W 100 S
St George, UT 84770-3375
Phone
(435) 673-9606
Fax
(435) 673-6812
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry Staples, FAGD
Title
Owner
Phone
(435) 673-9606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 133766 UT Primary

Addresses

Primary practice location

427 W 100 S
St George, UT 84770-3375

Mailing address

PO Box 8
St George, UT 84771-0008
Phone (435) 673-9606

National Provider Directory

National Provider Directory

Locations

427 W 100 S
St George, UT 84770
Phone (435) 673-9606

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790897064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847710008",
            "telephone_number": "435-673-9606",
            "fax_number": "435-673-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W 100 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703375",
            "telephone_number": "435-673-9606",
            "fax_number": "435-673-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAPLES DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-673-9606",
        "authorized_official_credential": "FAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "133766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, 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.

Verify at the official NPI Registry.