Provo Downtown Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PROVO DOWNTOWN DENTAL, LLC

Doing business as

Provo Downtown Dental

Practice address

85 N 500 W
Provo, UT 84601-2647

Phone

(801) 373-8791

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Miss Kim Castaneda

Title

Office Manager

Phone

(801) 373-8791

Specialties & licenses 1

Addresses

Other names 1

• Provo Downtown Dental Doing business as

Locations

Practitioners 1

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

• Alejandro Siles, DMD

  • General Practice Dentistry
  • Provo, UT
  • NPI 1376338848
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1851802813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012647",
            "telephone_number": "801-373-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012647",
            "telephone_number": "801-373-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVO DOWNTOWN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-373-8791",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provo Downtown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Provo City School District
• Provo Counseling Center
• Provo Counseling Center
• Provo Dental Care LLC (Stonehaven Dental - Provo, LLC)
• Provo Dialysis Center University of Utah (University of Utah)
• Provo Family Dentistry, LLC (The Dental Edge)
• Provo House of Hope
• Provo Orem Family & Cosmetic Dentistry PLLC
• Provo PDC PLLC (Platinum Dental Care)
• Provo Peak Chiropractic LLC

• Dental Clinic/Center in Provo, UT
• Providers in Provo, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.