Erik Taylor Badger, DDS,MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5610941 Issued in UT

Practice address

6287 S Redwood Rd Ste 102
Salt Lake City, UT 84123-6653

Phone

(801) 293-8833

Fax

(801) 293-8844

NPI assigned

Jul 23, 2008

Last updated

Jul 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redwood Periodontics, LLC

  • Periodontics
  • Salt Lake City, UT
  • NPI 1558487827
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1942465513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236653",
            "telephone_number": "801-293-8833",
            "fax_number": "801-293-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236653",
            "telephone_number": "801-293-8833",
            "fax_number": "801-293-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGER",
        "first_name": "ERIK",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "5610941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Baddley
• Lauren Margaret Bade, MTRS, CTRS
• Feras Moh'D Ali Bader, M.D.
• Briant T. Badger
• Christine M Badger, RN
• Jared Badger
• Samantha Noel Badie, MD
• Andrew Robert Badke, MD
• Ahmed M. Badran, MBBCH
• Mallory Baer

• Periodontics in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Periodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.