| NPI | 1265215347 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2023-08-14 |
| Last Updated | 2023-08-14 |
| Authorized Official | Ryan Johansen Dentist Phone: 8012809595 |
| Mailing Address | 7613 S Jordan Landing Blvd Ste 210 West Jordan, UT 84084-1973 United States Phone: (385) 209-5038 | Fax: (801) 280-1169 📍 View Map |
| Primary Practice Address | 7613 S Jordan Landing Blvd Ste 210 West Jordan, UT 84084-1973 United States Phone: (801) 280-9595 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223P0221X – Dentist, Pediatric Dentistry | - | - |
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About NPI 1265215347
Jordan Landing Pediatric Dentistry Dds is an organization registered in the CMS NPPES NPI Registry with NPI number 1265215347. The primary specialty listed is Dentist, Pediatric Dentistry. The organization is located in West Jordan, UT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2023-08-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265215347?
NPI 1265215347 belongs to Jordan Landing Pediatric Dentistry Dds, a Dentist, Pediatric Dentistry in West Jordan, UT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265215347 active?
The current status of NPI 1265215347 in the NPPES registry is Active. The record was last updated on 2023-08-14.
What specialty is NPI 1265215347?
NPI 1265215347 is classified under the taxonomy Dentist, Pediatric Dentistry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265215347?
You can verify NPI 1265215347 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265215347?
The primary practice address on file for NPI 1265215347 is 7613 S Jordan Landing Blvd Ste 210, West Jordan, UT 84084-1973. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265215347 issued?
NPI 1265215347 was first issued (enumerated) on 2023-08-14. The NPPES record was last updated on 2023-08-14.
Practice Location Map
Jordan Landing Pediatric Dentistry Dds is located at 7613 S Jordan Landing Blvd Ste 210, West Jordan, UT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jordan Landing Pediatric Dentistry Dds. All records sourced from the CMS NPPES registry.