NPIMap

Organization Active NPI

Ninth East Dental

  • General Practice Dentistry
  • Provo, UT
National Provider Identifier
1902470198
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NINTH EAST DENTAL
Practice address
1234 N 900 E Ste 100
Provo, UT 84604-2726
Phone
(801) 854-9140
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1234 N 900 E Ste 100
Provo, UT 84604-2726

Mailing address

1234 N 900 E Ste 100
Provo, UT 84604-2726
Phone (801) 854-9140

National Provider Directory

National Provider Directory

Locations

1234 N 900 E
Ste 100
Provo, UT 84604
Phone (801) 854-9140

Practitioners & affiliated clinicians

Practitioners 2

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1902470198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 N 900 E STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042726",
            "telephone_number": "801-854-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 N 900 E STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042726",
            "telephone_number": "801-854-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINTH EAST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.