Jessica Birrell, CDT

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

223233500 Issued in UT

Practice address

11978 S 700 E Ste 101
Draper, UT 84020-9818

Phone

(801) 352-7002

Fax

(801) 769-1246

NPI assigned

May 9, 2024

Last updated

May 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cda Practice LLC

  • Dental Clinic/Center
  • Draper, UT
  • NPI 1295424232
  NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1174371546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11978 S 700 E STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209818",
            "telephone_number": "801-352-7002",
            "fax_number": "801-769-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11978 S 700 E STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209818",
            "telephone_number": "801-352-7002",
            "fax_number": "801-769-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRRELL",
        "first_name": "JESSICA",
        "credential": "CDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Laboratory Technician",
            "state": "UT",
            "license": "223233500",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "223233500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Hamilton Bills
• Madison Bindrdup
• Jed Reed Bindrup, MD
• Biobalance Medical Partners
• Biorestoration Medical
• Hannah Bitner
• Kathryn Stott Bitner, PHD
• Alex Black
• Allison Black, RN
• Christopher Black, APRN

• General Practice Dentistry in Draper, UT
• Providers in Draper, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.