Organization Active NPI

Elevate Dental Partners

  • General Practice Dentistry
  • Bountiful, UT
National Provider Identifier
1982472536
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELEVATE DENTAL PARTNERS
Practice address
533 W 2600 S Ste 225
Bountiful, UT 84010-7762
Phone
(801) 292-7500
Fax
(801) 292-7589
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Daniel Masson, DDSNPI 1699902106
Title
Owner/Dentist
Phone
(801) 897-7893

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

533 W 2600 S Ste 225
Bountiful, UT 84010-7762

Mailing address

533 W 2600 S Ste 225
Bountiful, UT 84010-7762

Other practice location 1

219 E 12300 S Ste I5
Draper, UT 84020-6970
Phone (801) 495-4440

Other practice location 2

928 E 100 S Ste A
Salt Lake City, UT 84102-1486
Phone (801) 355-5558

Other practice location 3

853 E 9400 S
Sandy, UT 84094-3655
Phone (801) 572-5550

National Provider Directory

National Provider Directory
Tax ID family
Elevate Dental Partners3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

533 W 2600 S
Ste 225
Bountiful, UT 84010
Phone (801) 292-7500

853 E 9400 S
Sandy, UT 84094
Phone (801) 572-5550

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1982472536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W 2600 S STE 225",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W 2600 S STE 225",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107762",
            "telephone_number": "801-292-7500",
            "fax_number": "801-292-7589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 E 12300 S Ste I5",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840206970",
            "country_code": "US",
            "telephone_number": "801-495-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "928 E 100 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841021486",
            "country_code": "US",
            "telephone_number": "801-355-5558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "853 E 9400 S",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943655",
            "country_code": "US",
            "telephone_number": "801-572-5550",
            "fax_number": "801-523-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATE DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MASSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-897-7893",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.