NPIMap

Organization Active NPI

I Smile Implant Centers PLLC

  • General Practice Dentistry
  • Kaysville, UT
National Provider Identifier
1851706758
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
I SMILE IMPLANT CENTERS PLLC
Practice address
306 N Main St
Kaysville, UT 84037-6766
Phone
(801) 879-2343
Fax
(801) 660-6776
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Lara Lee Johnson
Title
Insurance Coordinator
Phone
(801) 355-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

306 N Main St
Kaysville, UT 84037-6766

Mailing address

306 N Main St
Kaysville, UT 84037-6766
Phone (801) 879-2343

National Provider Directory

National Provider Directory
Tax ID family
I Smile Implant Centers PLLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1851706758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840376766",
            "telephone_number": "801-879-2343",
            "fax_number": "801-660-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840376766",
            "telephone_number": "801-879-2343",
            "fax_number": "801-660-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SMILE IMPLANT CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "801-355-2202"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.