NPIMap

Organization Active NPI

Kayscreek Dental PLLC

  • Dental Clinic/Center
  • Kaysville, UT
National Provider Identifier
1972139681
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KAYSCREEK DENTAL PLLC
Practice address
349 N Flint St
Kaysville, UT 84037-9807
Phone
(385) 269-0771
NPI assigned
Mar 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

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

Authorized official

Name
Dr. Eric Nelson, DDSNPI 1952892184
Title
Owner
Phone
(385) 269-0771

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

349 N Flint St
Kaysville, UT 84037-9807

Mailing address

262 E 470 N
Bountiful, UT 84010-4618
Phone (724) 650-3140

National Provider Directory

National Provider Directory

Locations

349 N Flint St
Kaysville, UT 84037
Phone (385) 269-0771

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": "1584144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584144000000",
    "number": "1972139681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 E 470 N",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104618",
            "telephone_number": "724-650-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 N FLINT ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840379807",
            "telephone_number": "385-269-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYSCREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-269-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; 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.