Cache Valley Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CACHE VALLEY PEDIATRIC DENTISTRY

Practice address

1624 N 200 E Ste 100
Logan, UT 84341-3141

Phone

(435) 752-4330

Fax

(435) 752-6330

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By 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

Tori Gibbs

Title

Office Manager

Phone

(435) 752-4330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Daren Fred Gehring, DDS

  • Pediatric Dentistry
  • Logan, UT
  • NPI 1740341007
  NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1962282459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 N 200 E STE 100",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843413141",
            "telephone_number": "435-752-4330",
            "fax_number": "435-752-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 N 200 E STE 100",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843413141",
            "telephone_number": "435-752-4330",
            "fax_number": "435-752-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE VALLEY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-752-4330"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cache Valley Medical and Wellness
• Cache Valley Midwifery Group (Cache Valley Birth Center)
• Cache Valley Oral & Facial Surgery, Inc.
• Cache Valley Oxygen Inc
• Cache Valley Pathology, LLC
• Cache Valley Specialty Hospital
• Cache Valley Surgery Center, LLC
• Cache Valley Surgery Center, LLC (Cache Valley Healthcare Group)
• Cache Valley Womens Center, PLLC
• Alexander J Calder, PH.D., LP

• Dental Clinic/Center in Logan, UT
• Providers in Logan, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.