FRESH START DENTAL CENTER (NPI# 1861715005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861715005 |
| Entity Type | Organization |
| Organization Name | FRESH START DENTAL CENTER |
| Practice Address |
6287 S Redwood Rd Taylorsville UT 84123-6634 |
| Practice Telephone | 8013131144 |
| Practice Fax Number | 8013131141 |
| Mailing Telephone | 8013131144 |
| Mailing Fax Number | 8013131141 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | ROGER WHITEHOUSE (CEO) |
| Authorized Official Telephone | 8015983333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 12752998-002 | UT | Managed Care Organizations |
| Street Address |
6287 S REDWOOD RD |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205893740 | Richard W Elggren Dmd Inc | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-04-27 |
| 1760745251 | Intermountain Oral & Maxillofacial Surgery | Dentist | 6287 S Redwood Rd, #103, Taylorsville, UT 84123-6634 | 2012-06-19 |
| 1184937971 | Robert Hale | Dentist | 6287 S Redwood Rd, Ste 203, Taylorsville, UT 84123-6634 | 2010-07-21 |
| 1588720304 | Jason J Horgesheimer | Dentist | 6287 S Redwood Rd, Suite 201, Taylorsville, UT 84123-6634 | 2006-12-28 |
| 1083726558 | Kurt Thomas Metzler | Dentist | 6287 S Redwood Rd, Suite 101, Taylorsville, UT 84123-6634 | 2006-08-31 |
| 1952369522 | Jamie S Pogue | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-05-03 |
| 1831156371 | Richard W Elggren | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631587 | Axum Corporate Health Strategies | Exclusive Provider Organization | 4888 W River Chase Rd, Herriman, UT 84096-3423 | 2018-09-05 |
| 1629504642 | Carissa Mora-rodriguez | Exclusive Provider Organization | 415 E Woodlake Ln, #152, Salt Lake City, UT 84107-1990 | 2017-05-11 |
| 1811447725 | Loose Cannon Social Work, LLC. | Exclusive Provider Organization | 2298 E 200 S, Saint George, UT 84790-1603 | 2016-10-04 |
| 1528207727 | Advanced Hearing Solutions | Exclusive Provider Organization | 4578 Highland Dr Ste 270, Salt Lake City, UT 84117-4214 | 2009-02-11 |
| 1730326919 | Heritage Counseling, Pllc | Exclusive Provider Organization | 1747 Heritage Ln Ste B103, Syracuse, UT 84075-8546 | 2009-01-09 |
| 1396906962 | Places In The Heart, Inc | Exclusive Provider Organization | 881 S Orem Blvd, Suite 2, Orem, UT 84058-5033 | 2008-06-17 |
| 1871641449 | Family Matters Services Inc | Exclusive Provider Organization | 1604 Church St, Layton, UT 84041-8335 | 2007-01-08 |
| 1639289010 | Daybreak Training Services | Exclusive Provider Organization | 599 W Center St, Pleasant Grove, UT 84062-2252 | 2006-08-30 |
| 1235697608 | Luna Y Sol LLC | Exclusive Provider Organization | 150 S 600 E Ste 7c, Salt Lake City, UT 84102-1989 | 2019-03-05 |
| 1982142824 | Bluffdale Dental | Exclusive Provider Organization | 14100 S Redwood Rd, Bluffdale, UT 84065-5204 | 2017-02-10 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.