Amigos Dental Care- California Crossing, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AMIGOS DENTAL CARE- CALIFORNIA CROSSING, LLC

Doing business as

Amigos Dental Care- California Crossing, LLC

Practice address

1230 S Redwood Rd
Salt Lake City, UT 84104-3707

Phone

(775) 777-5888

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Bowman, DDS

Title

Owner/Partner

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Other names 1

• Amigos Dental Care- California Crossing, LLC 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, and the practitioner matching its NPPES authorized official.

• Travis Michael Dixon, DMD

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1174261689
  NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1871162552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S REDWOOD RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043707",
            "telephone_number": "385-295-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S REDWOOD RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043707",
            "telephone_number": "775-777-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIGOS DENTAL CARE- CALIFORNIA CROSSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amigos Dental Care- California Crossing, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amigos Dental Care- California Crossing, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amethyst Center for Healing
• Crystal Tina Marie Amezquita
• Joseph Enio Amici
• Annabelle Wilcox Amick, PA-C
• Robert Michael Amick, MD
• Amigos Dental Care- Marmalade District, LLC (Marmalade Dentistry)
• Caroline Amis, LSAC
• Christina A Amore
• Zaruhi Ulikhanyan Amoros, APRN
• Amphex Pharmacy, LLC

• Dental Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, 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 Jun 17, 2022; 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.