NPIMap

Organization Active NPI

Endodontic Associates

  • Endodontics
  • Salt Lake City, UT
National Provider Identifier
1861637308
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
145399923 Issued in UT
Legal business name
ENDODONTIC ASSOCIATES
Practice address
1434 E 4500 S Ste 201
Salt Lake City, UT 84117-4252
Phone
(801) 272-5800
Fax
(801) 272-5897
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Brian Scott Groneman, D.D.S.NPI 1649333949
Title
Endodontist
Phone
(801) 272-5800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 145399923 UT Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 0144898992 UT

Addresses

Primary practice location

1434 E 4500 S Ste 201
Salt Lake City, UT 84117-4252

Mailing address

1434 E 4500 S Ste 201
Salt Lake City, UT 84117-4252
Phone (801) 272-5800

National Provider Directory

National Provider Directory

Locations

1434 E 4500 S
Ste 201
Millcreek, UT 84117
Phone (801) 272-5800

Practitioners & affiliated clinicians

Practitioners 3

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": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1861637308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 E 4500 S STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174252",
            "telephone_number": "801-272-5800",
            "fax_number": "801-272-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 E 4500 S STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174252",
            "telephone_number": "801-272-5800",
            "fax_number": "801-272-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "GRONEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "801-272-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "145399923",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "0144898992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 12, 2008; 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.