Stonehaven Dental - Spanish Fork, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STONEHAVEN DENTAL - SPANISH FORK, LLC

Practice address

685 N 920 E
Spanish Fork, UT 84660-1677

Phone

(502) 254-8500

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Jeff Reibel

Title

Cfo

Phone

(502) 254-8500

Specialties & licenses 1

Addresses

Other names 1

• Stonehaven Dental - Spanish Fork, LLC Doing business as

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1922411321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169",
            "telephone_number": "502-254-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N 920 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601677",
            "telephone_number": "502-254-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 N 100 E",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846601245",
            "country_code": "US",
            "telephone_number": "801-794-3567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STONEHAVEN DENTAL - SPANISH FORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "REIBEL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonehaven Dental - Spanish Fork, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonehaven Dental - Spanish Fork, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amberlie Stoddard
• Matthew Vernon Stoddard, DPM
• Ryan Alan Stokes, LCSW
• Stone Drug Inc
• Rachelle Stone, PA-C
• Jesse Stoneman
• Janna Stoutenburg, SLP
• Andrew Stratford, RDN
• Laura Strong, LPN
• Scott Stroshine, D.O

• Dental Clinic/Center in Spanish Fork, UT
• Providers in Spanish Fork, 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 Sep 5, 2023; 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.