Individual provider Active NPI

Jordan Sanger, DDS

  • General Practice Dentistry
  • Taylorsville, UT
National Provider Identifier
1043838840
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-5044 Issued in ID
Practice address
1732 W 5400 S
Taylorsville, UT 84129-1457
Phone
(385) 518-0400
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-5044 ID Primary
General Practice Dentistry 1223G0001X 11723611-9922 UT

Addresses

Primary practice location

1732 W 5400 S
Taylorsville, UT 84129-1457

Mailing address

9578 W Gladiola CT
Star, ID 83669-6373
Phone (208) 794-0468

Other practice location 1

433 E 1000 N Ste 103
Spanish Fork, UT 84660-1242
Phone (385) 344-0836

Other identifiers 4

IdentifierTypeStateIssuer
11723611-9922OtherUTUTAH DENTAL LICENSE
D-5044OtherIDDENTAL LICENSE
11723611-8903OtherUTUTAH CONTROLLED SUBSTANCE LICENSE
CS59710OtherIDCONTROLLED SUBSTANCE LICENSE

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
11723611-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kuna Smiles LLC Current Accepting new patients
Hersang Dental, PLLC General Practice PastSince Sep 8, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1043838840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9578 W GLADIOLA CT",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836696373",
            "telephone_number": "208-794-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W 5400 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291457",
            "telephone_number": "385-518-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 E 1000 N Ste 103",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846601242",
            "country_code": "US",
            "telephone_number": "385-344-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGER",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5044",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11723611-9922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH DENTAL LICENSE",
            "identifier": "11723611-9922",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D-5044",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH CONTROLLED SUBSTANCE LICENSE",
            "identifier": "11723611-8903",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICENSE",
            "identifier": "CS59710",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.