NPIMap

Organization Active NPI

Ridge Park Dental

  • Dental Clinic/Center
  • Layton, UT
National Provider Identifier
1851913057
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RIDGE PARK DENTAL
Practice address
2307 N Hill Field Rd Ste 101
Layton, UT 84041-6890
Phone
(801) 773-5285
Fax
(801) 773-2850
NPI assigned
May 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Dr. Grant A Brough, DDSNPI 1821182098
Title
Owner/DDS
Phone
(801) 773-5285

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2307 N Hill Field Rd Ste 101
Layton, UT 84041-6890

Mailing address

2307 N Hill Field Rd Ste 101
Layton, UT 84041-6890
Phone (801) 773-5285

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL smile@drbrough.com

National Provider Directory

National Provider Directory
Tax ID family
Dr Grant a Brough DDS PC2 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

2307 N Hill Field Rd
Ste 101
Layton, UT 84041
Phone (801) 773-5285

Practitioners & affiliated clinicians

Practitioners 1

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": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1851913057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 N HILL FIELD RD STE 101",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416890",
            "telephone_number": "801-773-5285",
            "fax_number": "801-773-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 N HILL FIELD RD STE 101",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416890",
            "telephone_number": "801-773-5285",
            "fax_number": "801-773-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "BROUGH",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "801-773-5285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smile@drbrough.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "2307 N Hill Field Rd Ste 101",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840416890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.