NPIMap

Organization Active NPI

PDC Highland Park LLC

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1962892653
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
378380-9922 Issued in UT
Legal business name
PDC HIGHLAND PARK LLC
Practice address
3098 S Highland Dr Ste 400
Salt Lake City, UT 84106-3618
Phone
(801) 484-1032
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Rhet Scherschligt, DDSNPI 1851322101
Title
Dentist
Phone
(801) 484-1032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 378380-9922 UT Primary

Addresses

Primary practice location

3098 S Highland Dr Ste 400
Salt Lake City, UT 84106-3618

Mailing address

3098 S Highland Dr Ste 400
Salt Lake City, UT 84106-3618
Phone (801) 484-1032

Other names 1

  • Platinum Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

3098 S Highland Dr
Ste 400
Millcreek, UT 84106
Phone (801) 484-1032

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1962892653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 S HIGHLAND DR STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063618",
            "telephone_number": "801-484-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 S HIGHLAND DR STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063618",
            "telephone_number": "801-484-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDC HIGHLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "SCHERSCHLIGT",
        "authorized_official_first_name": "RHET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-484-1032",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "378380-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.