Comprehensive Sedation Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COMPREHENSIVE SEDATION DENTAL

Practice address

8706 S 700 E Ste 203
Sandy, UT 84070-1809

Phone

(801) 871-9342

NPI assigned

Sep 2, 2024

Last updated

Sep 2, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

AION ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Spencer Rickers, DMDNPI 1134896632

Title

Manager

Phone

(801) 960-6513

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Spencer Rickers

  • General Practice Dentistry
  • Longview, TX
  • NPI 1134896632
  NPD Authorized official

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1861226771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N 500 E",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840421571",
            "telephone_number": "801-960-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8706 S 700 E STE 203",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701809",
            "telephone_number": "801-871-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SEDATION DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AION ENTERPRISES LLC",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A",
        "authorized_official_last_name": "RICKERS",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-960-6513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sandy, UT
• Providers in Sandy, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.