NPIMap

Organization Active NPI

RK Jolley DDS, PC

  • Dental Clinic/Center
  • Vernal, UT
National Provider Identifier
1134523459
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
137338 Issued in UT
Legal business name
RK JOLLEY DDS, PC
Practice address
40 W 100 N
Vernal, UT 84078-2002
Phone
(435) 789-2888
Fax
(435) 789-7281
NPI assigned
Oct 15, 2014
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Richard K Jolley, DDSNPI 1902200223
Title
Co-Owner
Phone
(435) 789-2888

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
Dental Clinic/Center 261QD0000X 137338 UT Primary

Addresses

Primary practice location

40 W 100 N
Vernal, UT 84078-2002

Mailing address

40 W 100 N
Vernal, UT 84078-2002
Phone (435) 789-2888

National Provider Directory

National Provider Directory
Tax ID family
R K Jolley DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 W 100 N
Vernal, UT 84078
Phone (435) 789-2888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1134523459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 100 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782002",
            "telephone_number": "435-789-2888",
            "fax_number": "435-789-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 100 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782002",
            "telephone_number": "435-789-2888",
            "fax_number": "435-789-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RK JOLLEY DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "435-789-2888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "137338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.