NPIMap

Organization Active NPI

A-1 Dental PC

  • General Practice Dentistry
  • Ogden, UT
National Provider Identifier
1811269731
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6826055 Issued in UT
Legal business name
A-1 DENTAL PC
Practice address
3785 Harrison Blvd
Suite 1
Ogden, UT 84403-2071
Phone
(801) 621-2116
Fax
(801) 621-5513
NPI assigned
Feb 8, 2012
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Kody MundNPI 1700069804
Title
President
Phone
(801) 621-2116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6826055 UT Primary

Addresses

Primary practice location

3785 Harrison Blvd
Suite 1
Ogden, UT 84403-2071

Mailing address

3785 Harrison Blvd
Suite 1
Ogden, UT 84403-2071
Phone (801) 621-2116

National Provider Directory

National Provider Directory

Locations

3785 Harrison Blvd
Ste 1
Ogden, UT 84403
Phone (801) 621-2116

Practitioners & affiliated clinicians

Practitioners 1

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": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1811269731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 HARRISON BLVD",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032071",
            "telephone_number": "801-621-2116",
            "fax_number": "801-621-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 HARRISON BLVD",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032071",
            "telephone_number": "801-621-2116",
            "fax_number": "801-621-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "MUND",
        "authorized_official_first_name": "KODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-621-2116"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6826055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.