Organization Active NPI

Genesis Dental Thanksgiving Point

  • Dental Clinic/Center
  • Lehi, UT
National Provider Identifier
1942856398
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GENESIS DENTAL THANKSGIVING POINT
Practice address
3098 W Executive Pkwy Ste 250
Lehi, UT 84043-4715
Phone
(801) 766-5300
NPI assigned
Aug 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Mr. Jason D Casto
Title
Member/Owner
Phone
(801) 870-0625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3098 W Executive Pkwy Ste 250
Lehi, UT 84043-4715

Mailing address

12180 S 300 E Unit 270
Draper, UT 84020-2612
Phone (801) 870-0625

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1942856398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 S 300 E UNIT 270",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202612",
            "telephone_number": "801-870-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 W EXECUTIVE PKWY STE 250",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434715",
            "telephone_number": "801-766-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DENTAL THANKSGIVING POINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "CASTO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "801-870-0625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.