Organization Active NPI

Peak 5 Family Dentistry

  • General Practice Dentistry
  • South Jordan, UT
National Provider Identifier
1063275865
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEAK 5 FAMILY DENTISTRY
Practice address
1680 W Reunion Ave Ste 6B
South Jordan, UT 84095-4617
Phone
(385) 368-6745
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Dr. Britton Jess Birtcher, DMDNPI 1316476765
Title
Doctor
Phone
(385) 368-6745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1680 W Reunion Ave Ste 6B
South Jordan, UT 84095-4617

Mailing address

3026 W 9435 S
South Jordan, UT 84095-3237
Phone (385) 368-6745

National Provider Directory

National Provider Directory

Locations

1680 W Reunion Ave
Ste 6B
South Jordan, UT 84095
Phone (385) 368-6745

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1063275865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 W 9435 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953237",
            "telephone_number": "385-368-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W REUNION AVE STE 6B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954617",
            "telephone_number": "385-368-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK 5 FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "BIRTCHER",
        "authorized_official_first_name": "BRITTON",
        "authorized_official_middle_name": "JESS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "385-368-6745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.