Active NPI
Jeffrey L. Buxton, DMD, PC
- General Practice Dentistry
- Salt Lake City, UT
National Provider Identifier
1154581262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7023657-9922
- Practice address
- 5872 South 900 East Ste #252
Salt Lake City, UT 84121 - Phone
- (801) 278-3214
- Fax
- (801) 449-9280
- NPI assigned
- Jun 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7023657 | UT | |
| General Practice Dentistry | 1223G0001X | 7023657-9922 | UT | Primary |
Addresses
Primary practice location
5872 South 900 East Ste #252
Salt Lake City, UT 84121
Mailing address
5872 South 900 East Ste #252
Salt Lake City, UT 84121
Phone (801) 278-3214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151228000387 | UT | Order and Referring Only - Dentist | 4082915657 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7023657 | UT | MD | General Practice Dentistry |
| 7023657-9922 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Airway Solutions PLLC | General Practice | Current | Accepting new patients |
| S. Michael Vaughan DMD PLLC | Past | Accepting new patients |
Locations
5872 S 900 E
Ste 252
Murray, UT 84121
Phone (801) 278-3214
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.
-
- General Practice Dentistry
- Murray, UT
- NPI 1073370060
-
- Dental Clinic/Center
- Murray, UT
- NPI 1245036532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1154581262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5872 SOUTH 900 EAST STE #252",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-278-3214",
"fax_number": "801-449-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5872 SOUTH 900 EAST STE #252",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-278-3214",
"fax_number": "801-449-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUXTON",
"first_name": "JEFFREY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DMD, PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "7023657",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "7023657-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.