Organization Active NPI

Abundant Implant Services

  • General Practice Dentistry
  • Murray, UT
National Provider Identifier
1851021547
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ABUNDANT IMPLANT SERVICES
Practice address
795 East Winchester Street
Murray, UT 84107
Phone
(801) 849-1045
Fax
(801) 304-3151
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Tracie Sullivan
Title
VP of Finance
Phone
(801) 550-3901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

795 East Winchester Street
Murray, UT 84107

Mailing address

793 E Winchester St
Murray, UT 84107-7564
Phone (801) 849-1045

National Provider Directory

National Provider Directory
Tax ID family
Abundant Implant Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

795 E Winchester St
Murray, UT 84107
Phone (801) 630-8811

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1851021547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 E WINCHESTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077564",
            "telephone_number": "801-849-1045",
            "fax_number": "801-304-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 EAST WINCHESTER STREET",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-849-1045",
            "fax_number": "801-304-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT IMPLANT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "801-550-3901"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.