NPIMap

Organization Active NPI

Rivers Edge Dental LLC

  • General Practice Dentistry
  • West Valley, UT
National Provider Identifier
1821220104
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7020797-9922 Issued in UT
Legal business name
RIVERS EDGE DENTAL LLC
Practice address
Village at Rivers Edge 1241 Village Main Dr
BLD 1, Suite B
West Valley, UT 84119
Phone
(801) 978-1000
Fax
(801) 978-1001
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. Cody McGarry, D.M.D.
Title
Owner
Phone
(801) 978-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7020797-9922 UT Primary

Addresses

Primary practice location

Village at Rivers Edge 1241 Village Main Dr
BLD 1, Suite B
West Valley, UT 84119

Mailing address

Village at Rivers Edge 1241 Village Main Dr
BLD 1, Suite B
West Valley, UT 84119
Phone (801) 978-1000

National Provider Directory

National Provider Directory

Locations

1241 W Village Main Dr
Unit B
West Valley, UT 84119
Phone (801) 978-1000

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1821220104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLAGE AT RIVERS EDGE 1241 VILLAGE MAIN DR",
            "address_2": "BLD 1, SUITE B",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-978-1000",
            "fax_number": "801-978-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLAGE AT RIVERS EDGE 1241 VILLAGE MAIN DR",
            "address_2": "BLD 1, SUITE B",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-978-1000",
            "fax_number": "801-978-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "MCGARRY",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-978-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7020797-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.