NPIMap

Organization Active NPI

Elite Dental

  • Dentist
  • West Valley, UT
National Provider Identifier
1851607402
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
69371998903 Issued in UT
Legal business name
ELITE DENTAL
Practice address
3280 W 3500 S
#3
West Valley, UT 84119-2668
Phone
(801) 969-2121
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Amira A HassanNPI 1023107166
Title
President
Phone
(801) 969-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 69371998903 UT Primary

Addresses

Primary practice location

3280 W 3500 S
#3
West Valley, UT 84119-2668

Mailing address

3280 W 3500 S #3
West Valley, UT 84119

National Provider Directory

National Provider Directory

Locations

3280 W 3500 S
Ste 3
West Valley, UT 84119
Phone (801) 969-2121

Practitioners & affiliated clinicians

Practitioners 2

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": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1851607402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S #3",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "84119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S",
            "address_2": "#3",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841192668",
            "telephone_number": "801-969-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-969-2121"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "69371998903",
            "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, 2010; 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.