NPIMap

Organization Active NPI

Bart T Watts DDS Randall K Johnson DDS Inc

  • General Practice Dentistry
  • Sandy, UT
National Provider Identifier
1891833547
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1440869922 Issued in UT
Legal business name
BART T WATTS DDS RANDALL K JOHNSON DDS INC
Practice address
1434 E 9400 South
Suite 200
Sandy, UT 84093
Phone
(801) 572-4404
Fax
(801) 572-4404
NPI assigned
Feb 2, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Bart T Watts, DDSNPI 1508007279
Title
Owner
Phone
(801) 572-4404

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X UT
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1440869922 UT Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1442799922 UT

Addresses

Primary practice location

1434 E 9400 South
Suite 200
Sandy, UT 84093

Mailing address

1434 E 9400 South
Suite 200
Sandy, UT 84093
Phone (801) 572-4404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1891833547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 E 9400 SOUTH",
            "address_2": "SUITE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84093",
            "telephone_number": "801-572-4404",
            "fax_number": "801-572-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 E 9400 SOUTH",
            "address_2": "SUITE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84093",
            "telephone_number": "801-572-4404",
            "fax_number": "801-572-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BART T WATTS DDS RANDALL K JOHNSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-572-4404",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "1440869922",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "1442799922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.