Individual provider Active NPI

Benjamin E Hadfield, D.D.S.

  • General Practice Dentistry
  • Bountiful, UT
National Provider Identifier
1811215601
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7406841 Issued in UT
Practice address
1480 Orchard Dr
Suite 102
Bountiful, UT 84010-5142
Phone
(801) 295-4551
Fax
(801) 296-6240
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7406841 UT Primary

Addresses

Primary practice location

1480 Orchard Dr
Suite 102
Bountiful, UT 84010-5142

Mailing address

1480 Orchard Dr
Suite 102
Bountiful, UT 84010-5142
Phone (801) 295-4551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7406841UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1811215601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 ORCHARD DR",
            "address_2": "SUITE 102",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105142",
            "telephone_number": "801-295-4551",
            "fax_number": "801-296-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 ORCHARD DR",
            "address_2": "SUITE 102",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105142",
            "telephone_number": "801-295-4551",
            "fax_number": "801-296-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADFIELD",
        "first_name": "BENJAMIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7406841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.