NPIMap

Organization Active NPI

Brad Huffaker DDS PC

  • General Practice Dentistry
  • Centerville, UT
National Provider Identifier
1922501626
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10411720-9922 Issued in UT
Legal business name
BRAD HUFFAKER DDS PC
Practice address
134 S Main St
Centerville, UT 84014-2814
Phone
(801) 292-5172
NPI assigned
Mar 9, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Dr. Bradley Ford Huffaker, DDS
Title
President
Phone
(801) 292-5172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10411720-9922 UT Primary

Addresses

Primary practice location

134 S Main St
Centerville, UT 84014-2814

Mailing address

134 S Main St
Centerville, UT 84014-2814
Phone (801) 292-5172

National Provider Directory

National Provider Directory

Locations

134 S Main St
Centerville, UT 84014
Phone (801) 292-5172

Practitioners & affiliated clinicians

Practitioners 3

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": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1922501626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S MAIN ST",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142814",
            "telephone_number": "801-292-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S MAIN ST",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142814",
            "telephone_number": "801-292-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD HUFFAKER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "HUFFAKER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-292-5172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10411720-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.