Out of This World Dentistry CH PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

144937 Issued in UT

Legal business name

OUT OF THIS WORLD DENTISTRY CH PC

Practice address

7138 S Highland Dr
Suite #216
Salt Lake City, UT 84121-3757

Phone

(801) 944-0668

Fax

(801) 944-4482

NPI assigned

Aug 21, 2014

Organization subpart

Yes

Parent organization

OUT OF THIS WORLD DENTISTRY PCAs reported in NPPES

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

Authorized official

Name

Dannielle Stark

Title

Office Manager

Phone

(801) 898-7502

Specialties & licenses 1

Addresses

Other names 1

• Out of This World Dentistry CH Doing business as

Part of

Out of This World Dentistry PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Out of This World Dentistry PC

  • Pediatric Dentistry
  • Draper, UT
  • NPI 1558760959
  NPPES parent name

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1881093334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR",
            "address_2": "SUITE #216",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "801-944-0668",
            "fax_number": "801-944-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR",
            "address_2": "SUITE #216",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "801-944-0668",
            "fax_number": "801-944-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT OF THIS WORLD DENTISTRY CH PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUT OF THIS WORLD DENTISTRY PC",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "DANNIELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-898-7502"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "144937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Out of This World Dentistry CH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariano Ottone, MS
• Jacqlyn Fitzgerald Ottosen, P.T.
• Patti D Ottosen
• Daria Ottoson
• Our Journey in Health
• Lanny Outcalt
• Maren Outsen
• Trinh Nguyen Outtrim, MD
• Wei Lin Ouyang, MD
• Yarelly Lizbeth Ovalle Rodriguez

• Pediatric Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.