Active NPI
Andrew Paden Bergquist, DDS
- General Practice Dentistry
- Saratoga Springs, UT
National Provider Identifier
1962244434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14194111-9926
- Practice address
- 119 W Crossroads Blvd Ste E
Saratoga Springs, UT 84045-5563 - Phone
- (385) 374-1104
- NPI assigned
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14194111-9926 | UT | Primary |
Addresses
Primary practice location
119 W Crossroads Blvd Ste E
Saratoga Springs, UT 84045-5563
Mailing address
1621 N Apache Rd
Saratoga Springs, UT 84045-5802
Phone (801) 505-8776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14194111-9926 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Dental Health Professionals, P.C. | General Practice | Current | Accepting new patients |
Locations
119 W Crossroads Blvd
Ste E
Saratoga Springs, UT 84045
Phone (385) 374-1104
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Saratoga Springs, UT
- NPI 1912728098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1962244434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 N APACHE RD",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840455802",
"telephone_number": "801-505-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W CROSSROADS BLVD STE E",
"city": "SARATOGA SPRINGS",
"state": "UT",
"postal_code": "840455563",
"telephone_number": "385-374-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGQUIST",
"first_name": "ANDREW",
"middle_name": "PADEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "14194111-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.