Payne Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PAYNE PEDIATRIC DENTISTRY

Practice address

3473 W South Jordan Pkwy Ste 3
South Jordan, UT 84095-6016

Phone

(801) 331-8449

NPI assigned

Apr 17, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Bingham

Title

Financial Coordinator

Phone

(801) 766-8111

Specialties & licenses 1

Addresses

Tax ID family

Payne Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Payne Pediatric Dentistry

  • Pediatric Dentistry
  • Lehi, UT
  • NPI 1184477762
  NPD tax ID

Locations

Practitioners 2

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.

• Troy Hardy, DMD

  • Pediatric Dentistry
  • Lehi, UT
  • NPI 1902031156
  NPD (past)
• Austin Troy Williams, DMD

  • Pediatric Dentistry
  • South Jordan, UT
  • NPI 1881324291
  NPD (past)

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1942054648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 N COMMERCE DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454713",
            "telephone_number": "801-766-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 W SOUTH JORDAN PKWY STE 3",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956016",
            "telephone_number": "801-331-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "801-766-8111"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Real Life Recovery
• Israel Patterson
• Jessica Patton
• Gabrielle Nicole Paulsin, CSW
• Robert Curtis Paxton, DMD
• Emily Payne
• Rodney G Payne, D.D.S., M.S.
• Shylo Victoria Payne, FNP-C
• Peach Tree Counseling, LLC
• Peak 5 Family Dentistry

• Pediatric Dentistry in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.