NPIMap

Organization Active NPI

Randy Sean Barnhisel DDS, PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1851937270
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
RANDY SEAN BARNHISEL DDS, PLLC
Practice address
4970 S 900 E Ste G
Salt Lake City, UT 84117-3930
Phone
(801) 262-6811
NPI assigned
Nov 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Randy Barnhisel, DDSNPI 1467534206
Title
Owner
Phone
(801) 262-6811

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

4970 S 900 E Ste G
Salt Lake City, UT 84117-3930

Mailing address

4970 S 900 E Ste G
Salt Lake City, UT 84117-3930

Other names 1

  • Salt Lake Smile Design Doing business as

National Provider Directory

National Provider Directory

Locations

4970 S 900 E
Ste G
Murray, UT 84117
Phone (801) 262-6811

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": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1851937270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 S 900 E STE G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841173930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 S 900 E STE G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841173930",
            "telephone_number": "801-262-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY SEAN BARNHISEL DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "BARNHISEL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-262-6811",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt Lake Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.