Organization Active NPI

Tullis & Twitchell DMD LLC

  • Dentist
  • Taylorsville, UT
National Provider Identifier
1992913552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5665059-9922 Issued in UT
Legal business name
TULLIS & TWITCHELL DMD LLC
Practice address
5547 S 4015 W
Suite 1
Taylorsville, UT 84118-4437
Phone
(801) 968-3585
Fax
(801) 968-3586
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brent Rulon Twitchell, DMDNPI 1689882250
Title
Owner
Phone
(801) 968-3585

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5665059-9922 UT Primary

Addresses

Primary practice location

5547 S 4015 W
Suite 1
Taylorsville, UT 84118-4437

Mailing address

5547 S 4015 W
Suite 1
Taylorsville, UT 84118-4437
Phone (801) 968-3585

National Provider Directory

National Provider Directory

Locations

5547 S 4015 W
Ste 1
Taylorsville, UT 84129
Phone (801) 968-3585

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992913552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 S 4015 W",
            "address_2": "SUITE 1",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841184437",
            "telephone_number": "801-968-3585",
            "fax_number": "801-968-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 S 4015 W",
            "address_2": "SUITE 1",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841184437",
            "telephone_number": "801-968-3585",
            "fax_number": "801-968-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLIS & TWITCHELL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TWITCHELL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "RULON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-968-3585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "5665059-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.