INTERMOUNTAIN DENTAL SPECIALISTS, LLC
NPI 1780048868
Dentist - Endodontics in Syracuse, UT
NPI Status: Active since April 05, 2016
Contact Information
1747 HERITAGE LN
SYRACUSE, UT
ZIP 84075
Phone: (801) 841-3300
- Organization
- Dentist
- Endodontics
- CLIA Number: 46D1099453
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-21-2026
About INTERMOUNTAIN DENTAL SPECIALISTS, LLC
This page provides the complete NPI Profile along with additional information for Intermountain Dental Specialists, Llc, a provider established in Syracuse, Utah operating as a Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1780048868 assigned on April 2016. The practitioner's primary taxonomy code is 1223E0200X with license number 6413227-9922 (UT). The provider is registered as an organization and their NPI record was last updated 10 years ago. Intermountain Dental Specialists, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kevin Cahoon (Dds)
- NPI
- 1780048868
- Provider Name
- INTERMOUNTAIN DENTAL SPECIALISTS, LLC
- Entity Type
- Organization
- Location Address
- 1747 HERITAGE LN SYRACUSE, UT 84075
- Location Phone
- (801) 841-3300
- Mailing Address
- 3150 SAWTELLE BLVD APT 308 LOS ANGELES, CA 90066
- Mailing Phone
- (707) 490-9125
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2016
- Last Update Date
- 04-05-2016
- Code Navigator
A dentist like Intermountain Dental Specialists, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Endodontics
- Taxonomy Code
- 1223E0200X
- Type
- Dental Providers
- License No.
- 6413227-9922
- License State
- UT
- Taxonomy Description
- The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D1099453
- Facility Type
- Physician Office
- Certificate Effective Date
- February 22, 2024
- Certificate Expiration Date
- February 21, 2026
- Laboratory Director
- BENJAMIN G. LAROSE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Dental Specialists, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780048868, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SYRACUSE, UT 84075
SYRACUSE, UT 84075
SYRACUSE, UT 84075
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780048868, enumerated as an "organization" on April 05, 2016.
The provider is located at 1747 HERITAGE LN SYRACUSE, UT 84075 and the phone number is (801) 841-3300.
Dentist with taxonomy code 1223E0200X and a focus in Endodontics.
