Organization Active NPI

LDS Family Services

Doing business as LDS Family Services UT Centerville

  • Specialist
  • Centerville, UT
National Provider Identifier
1841346467
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services UT Centerville
Practice address
94A East Pages Lane
Centerville, UT 84014
Phone
(801) 451-0475
Fax
(801) 451-8249
NPI assigned
Jan 26, 2007
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Mr. Dennis D Ashton, LCSW
Title
Agency Director
Phone
(801) 451-0475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

94A East Pages Lane
Centerville, UT 84014

Mailing address

94A East Pages Lane
Centerville, UT 84014
Phone (801) 451-0475

Other identifiers 2

IdentifierTypeStateIssuer
000058143OtherUTMEDICARE-PTAN
000058143MedicaidUT

Other names 1

  • LDS Family Services UT Centerville Doing business as

National Provider Directory

National Provider Directory
Part of
Robert D Smith PHD

Locations

94A E Pages Ln
Centerville, UT 84014
Phone (801) 294-0578

Practitioners & affiliated clinicians

Practitioners 5

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1841346467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94A EAST PAGES LANE",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "84014",
            "telephone_number": "801-451-0475",
            "fax_number": "801-451-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94A EAST PAGES LANE",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "84014",
            "telephone_number": "801-451-0475",
            "fax_number": "801-451-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "ASHTON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "801-451-0475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PTAN",
            "identifier": "000058143",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058143",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services UT Centerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.