Eastlake Endodontics – Endodontics, NPI 1093513889

Eastlake Endodontics is a healthcare provider. based in Roy, Utah. specializing in Endodontics. The NPI Number for Eastlake Endodontics is 1093513889

Main info

Organization
Name
Eastlake Endodontics
NPI
1093513889
Phone
Not provided
Address
5991 S 3500 W
Authorized Official
JONATHAN F RICHARDS OWNER
Enumeration Date
6 March 2025
Last Update Date
28 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness90
Years active:1State licenses:0Digital endpoints

Provider Addresses for Eastlake Endodontics

  • 5991 S 3500 W

    ROY, UT 840676701

    Phone:

    Type: Mailing

  • 5991 S 3500 W STE 200

    ROY, UT 840676702

    Phone: (801) 779-2700

    Fax: (801) 779-2782

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84067)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Eastlake Endodontics?
Eastlake Endodontics — NPI 1093513889 — is the standard way to identify this listing.
Can I rely on Eastlake Endodontics being an active provider?
As of the registry snapshot, Eastlake Endodontics is marked active.
What taxonomy line describes Eastlake Endodontics?
For research purposes, treat Eastlake Endodontics as Endodontics in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Eastlake Endodontics?
Eastlake Endodontics's geographic hint is Roy, Utah in our summary view.
Is the information about Eastlake Endodontics up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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