Jordan Landing Dental Management

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

344165 Issued in UT

Legal business name

JORDAN LANDING DENTAL MANAGEMENT

Doing business as

Jordan Landing Smiles

Practice address

7478 S Campus View Dr
Ste 202
West Jordan, UT 84084-1966

Phone

(801) 280-6911

Fax

(801) 280-6955

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Powell, D.D.S.NPI 1306920590

Title

Dentist

Phone

(801) 280-6911

Specialties & licenses 1

Addresses

Other names 1

• Jordan Landing Smiles Doing business as

Locations

Practitioners 3

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.

• David B Powell, DDS

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1306920590
  NPD (past) Authorized official
• Emily Rae Brons-Piche, DDS

  • Dentist
  • Sandy, UT
  • NPI 1598256026
  NPD (past)
• David Eldredge, DDS

  • General Practice Dentistry
  • Corvallis, OR
  • NPI 1396272811
  NPD (past)

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1154862126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7478 S CAMPUS VIEW DR",
            "address_2": "STE 202",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841966",
            "telephone_number": "801-280-6911",
            "fax_number": "801-280-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7478 S CAMPUS VIEW DR",
            "address_2": "STE 202",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841966",
            "telephone_number": "801-280-6911",
            "fax_number": "801-280-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN LANDING DENTAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-280-6911",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "UT",
            "license": "344165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Landing Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina N Jonkman, FNP
• Mickeal Paul Joos
• Jordan Family Health, LLC
• Jordan Health Associates, Inc. (Copper Ridge Health Care)
• Jordan Landing Dental Care, PC
• Jordan Landing Family Medicine LLC (Jordan Landing Clinic LLC)
• Jordan Landing Pediatric Dentistry DDS
• Jordan Landing Pediatrics
• Jordan River Women's Health, P.C.
• Jordan Valley & Mountain Point Medical Center, LLC (Jordan Valley Medical Center)

• Preferred Provider Organization in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Preferred Provider Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.