Dentistry for Children West Valley PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5247754 Issued in UT

Legal business name

DENTISTRY FOR CHILDREN WEST VALLEY PC

Practice address

3540 S 4000 W Ste 440
West Valley, UT 84120-3295

Phone

(801) 955-5200

Fax

(801) 955-1707

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Nancy L Davila

Title

Office Manager

Phone

(801) 955-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ari Michael Hobfoll, DMD

  • Pediatric Dentistry
  • West Valley, UT
  • NPI 1245677905
  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1922308618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S 4000 W STE 440",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841203295",
            "telephone_number": "801-955-5200",
            "fax_number": "801-955-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S 4000 W STE 440",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841203295",
            "telephone_number": "801-955-5200",
            "fax_number": "801-955-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN WEST VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-955-5200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "5247754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529313580001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John B Dame, MD
• Cari Davis
• Deborah Ann Davis, LCSW
• Juanita Degregoria
• Dental Transformations LLC
• Deseret Home Health, LLC
• DME Solutions, LLC
• Kate Doan
• Paige Eccles
• Ellena Renee France Edwards

• Dental Clinic/Center in West Valley, UT
• Providers in West Valley, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.