Individual provider Active NPI

Megan Bearden

  • Pediatric Dentistry
  • American Fork, UT
National Provider Identifier
1003541988
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12888141-9925 Issued in UT
Practice address
12 S 1100 E
American Fork, UT 84003-2815
Phone
(801) 756-3737
NPI assigned
Jul 23, 2022
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12888141-9922 UT
Pediatric Dentistry 1223P0221X 12888141-9925 UT Primary

Addresses

Primary practice location

12 S 1100 E
American Fork, UT 84003-2815

Mailing address

3670 S Laurelcrest Dr
Salt Lake City, UT 84109-3732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12888141-9922UTMDDentist
12888141-9925UTMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Partners Af PLLC CurrentSince Oct 13, 2024 Accepting new patients
Michelle C Jorgensen DDS PC PastSince Oct 13, 2024 Accepting new patients

Locations

12 S 1100 E
American Fork, UT 84003
Phone (801) 756-3737

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1003541988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 S LAURELCREST DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032815",
            "telephone_number": "801-756-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2024-10-09",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "12888141-9922",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "12888141-9925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.