NPIMap

Organization Active NPI

Wendover Dental Care PC

Doing business as Wendover Dental Care

  • General Practice Dentistry
  • Wendover, UT
National Provider Identifier
1992119622
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
324928 Issued in UT
Legal business name
WENDOVER DENTAL CARE PC
Doing business as
Wendover Dental Care
Practice address
399 N Aria Blvd
Wendover, UT 84083-0625
Phone
(435) 665-2962
Fax
(435) 665-7525
NPI assigned
Jun 20, 2014
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Dr. Jared D Hill, D.M.D.
Title
Owner / Dentist
Phone
(435) 665-2962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 324928 UT Primary

Addresses

Primary practice location

399 N Aria Blvd
Wendover, UT 84083-0625

Mailing address

PO Box 625
Wendover, UT 84083-0625
Phone (435) 665-2962

Other identifiers 1

IdentifierTypeStateIssuer
1205884657MedicaidUT

Other names 1

  • Wendover Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1992119622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "WENDOVER",
            "state": "UT",
            "postal_code": "840830625",
            "telephone_number": "435-665-2962",
            "fax_number": "435-665-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 N ARIA BLVD",
            "city": "WENDOVER",
            "state": "UT",
            "postal_code": "840830625",
            "telephone_number": "435-665-2962",
            "fax_number": "435-665-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDOVER DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "435-665-2962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "324928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205884657",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendover Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wendover, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.