Individual provider Active NPI

Lamont E Hesselgesser, D.D.S.

  • General Practice Dentistry
  • Pleasant View, UT
National Provider Identifier
1972695583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
94-260456-9922 Issued in UT
Practice address
2703 N 1600 W
Pleasant View, UT 84404-6900
Phone
(801) 737-4650
Fax
(801) 737-4653
NPI assigned
Sep 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 94-260456-9922 UT Primary

Addresses

Primary practice location

2703 N 1600 W
Pleasant View, UT 84404-6900

Mailing address

2703 N 1600 W
Pleasant View, UT 84404-6900
Phone (801) 737-4650

Other identifiers 2

IdentifierTypeStateIssuer
776309OtherUTUNITED CONCORDIA PROVIDER
260456OtherUTDELTA DENTAL PROVIDER ID

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

LicenseStateTypeSpecialty
94-260456-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Dental & Surgical Center General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972695583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N 1600 W",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844046900",
            "telephone_number": "801-737-4650",
            "fax_number": "801-737-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N 1600 W",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844046900",
            "telephone_number": "801-737-4650",
            "fax_number": "801-737-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSELGESSER",
        "first_name": "LAMONT",
        "middle_name": "E",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "94-260456-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "776309",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PROVIDER ID",
            "identifier": "260456",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant View, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.