Moyes Iverson Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOYES IVERSON DENTAL LLC

Practice address

1770 E 5625 So
Ste 2
Ogden, UT 84403

Phone

(801) 475-1999

Fax

(801) 475-1888

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brett Kirk Moyes, DDSNPI 1538205414

Title

Doctor

Phone

(801) 475-1999

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Brett K. Moyes, D.D.S.

  • General Practice Dentistry
  • Ogden, UT
  • NPI 1538205414
  NPD (past) Authorized official
• Clint G. Iverson, D.M.D.

  • General Practice Dentistry
  • Ogden, UT
  • NPI 1164568952
  NPD (past)
• Kaleb Martineau, DMD

  • Dentist
  • Surprise, AZ
  • NPI 1093164980
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821155581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E 5625 SO",
            "address_2": "STE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-475-1999",
            "fax_number": "801-475-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E 5625 SO",
            "address_2": "STE 2",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-475-1999",
            "fax_number": "801-475-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYES IVERSON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOYES",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-475-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountainside Speech Therapy, LLC
• Mountainstar Cardiovascular Services LLC
• Mountainstar Medical Group-Ogden Regional Medical Center, LLC
• Mountainstar Ogden Pediatrics LLC
• Joshua Mower
• Brett K. Moyes, D.D.S.
• Mt Ogden Anesthesia Group LLC
• Mt Ogden Eye Center LLC
• Mt Ogden Utah Surgical Center LLC
• Mt. Ogden Dental Clinic, Inc.

• Dentist in Ogden, UT
• Providers in Ogden, UT by specialty
• Dentist in Utah

• 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.