NPIMap

Organization Active NPI

Modern Dental Professionals Utah PC

Doing business as Monarch Dental

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1912066424
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
139914-9922 Issued in UT
Legal business name
MODERN DENTAL PROFESSIONALS UTAH PC
Doing business as
Monarch Dental
Practice address
420 E South Temple
Suite 312
Salt Lake City, UT 84111-1319
Phone
(801) 220-0940
NPI assigned
Dec 8, 2006
Reactivated
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Kevin Cahoon, DDS
Title
Owner
Phone
(801) 220-0940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 139914-9922 UT Primary

Addresses

Primary practice location

420 E South Temple
Suite 312
Salt Lake City, UT 84111-1319

Mailing address

420 E South Temple
Suite 312
Salt Lake City, UT 84111-1319
Phone (801) 220-0940

Other names 1

  • Monarch Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Modern Dental Professionals Utah PC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 E South Temple
Ste 312
Salt Lake City, UT 84111
Phone (801) 220-0940

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1912066424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SOUTH TEMPLE",
            "address_2": "SUITE 312",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111319",
            "telephone_number": "801-220-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SOUTH TEMPLE",
            "address_2": "SUITE 312",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111319",
            "telephone_number": "801-220-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS UTAH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-01-06",
        "deactivation_date": "2024-04-08",
        "reactivation_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "CAHOON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-220-0940",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "139914-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.