NPIMap

Organization Active NPI

Canyon Dental Clinic P.C.

  • General Practice Dentistry
  • Spanish Fork, UT
National Provider Identifier
1992014435
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
145709 Issued in UT
Legal business name
CANYON DENTAL CLINIC P.C.
Practice address
665 E 300 S
Spanish Fork, UT 84660-2211
Phone
(801) 798-8496
Fax
(801) 798-1584
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Dr. William C Davis IV, DMDNPI 1174672752
Title
Owner
Phone
(801) 798-8496

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 145709 UT Primary

Addresses

Primary practice location

665 E 300 S
Spanish Fork, UT 84660-2211

Mailing address

665 E 300 S
Spanish Fork, UT 84660-2211
Phone (801) 798-8496

National Provider Directory

National Provider Directory

Locations

665 E 300 S
Spanish Fork, UT 84660
Phone (801) 798-8496

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": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1992014435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 E 300 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602211",
            "telephone_number": "801-798-8496",
            "fax_number": "801-798-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 E 300 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602211",
            "telephone_number": "801-798-8496",
            "fax_number": "801-798-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON DENTAL CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-798-8496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "145709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.