Organization Active NPI

Apex Family & Cosmetic Dentistry

  • General Practice Dentistry
  • West Jordan, UT
National Provider Identifier
1891025219
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APEX FAMILY & COSMETIC DENTISTRY
Practice address
1227 W 9000 S
Suite E
West Jordan, UT 84088-9001
Phone
(801) 677-2739
Fax
(801) 676-0840
NPI assigned
Jan 7, 2010
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Ms. Tracie L Sullivan
Title
Financial Manager
Phone
(801) 677-2739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X UT Primary

Addresses

Primary practice location

1227 W 9000 S
Suite E
West Jordan, UT 84088-9001

Mailing address

1227 W 9000 S
Suite E
West Jordan, UT 84088-9001
Phone (801) 677-2739

National Provider Directory

National Provider Directory

Locations

1227 W 9000 S
Ste E
West Jordan, UT 84088
Phone (801) 676-0839

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1891025219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W 9000 S",
            "address_2": "SUITE E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889001",
            "telephone_number": "801-677-2739",
            "fax_number": "801-676-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W 9000 S",
            "address_2": "SUITE E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889001",
            "telephone_number": "801-677-2739",
            "fax_number": "801-676-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "801-677-2739",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.