South Ogden Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

276306 Issued in UT

Legal business name

SOUTH OGDEN DENTAL PC

Practice address

5738 S 1475 E Ste 200
Ogden, UT 84403-4859

Phone

(801) 479-3500

Fax

(801) 479-1600

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Rochelle Rasmussen, DDSNPI 1598982233

Title

Owner

Phone

(801) 479-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Rochelle Rasmussen

  • General Practice Dentistry
  • South Ogden, UT
  • NPI 1598982233
  NPD (past) Authorized official

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1841568243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 S 1475 E STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034859",
            "telephone_number": "801-479-3500",
            "fax_number": "801-479-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 S 1475 E STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034859",
            "telephone_number": "801-479-3500",
            "fax_number": "801-479-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OGDEN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-479-3500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "276306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52937685101001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shuree Sorensen
• Steven R Sorenson, LCSW
• John Nicholas Soter, MD
• Sound Sleep Medical LLC
• South Ogden Chiropractic Health
• South Ogen PDC PLLC
• Janet Southwick, COTA/L
• Jed Craig Southwick, M.D.
• Bronwen Southworth
• Franchesca Spangler, CSW

• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.