Organization Active NPI

Michael C. Jeppson Dental P.C.

  • General Practice Dentistry
  • St George, UT
National Provider Identifier
1205014487
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5262668-9923 Issued in UT
Legal business name
MICHAEL C. JEPPSON DENTAL P.C.
Practice address
1224 S River Rd BLDG D
St George, UT 84790-8285
Phone
(435) 628-9600
Fax
(435) 688-1849
NPI assigned
Feb 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Authorized official

Name
Dr. Michael Calvin Jeppson, D.D.S.NPI 1104013937
Title
President
Phone
(435) 628-9600

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 5262668-9923 UT Primary

Addresses

Primary practice location

1224 S River Rd BLDG D
St George, UT 84790-8285

Mailing address

1224 S River Rd BLDG D
St George, UT 84790-8285
Phone (435) 628-9600

National Provider Directory

National Provider Directory

Locations

1224 S River Rd
Bldg D
St George, UT 84790
Phone (435) 628-9600

Practitioners & affiliated clinicians

Practitioners 2

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": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202515200000",
    "number": "1205014487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 S RIVER RD BLDG D",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908285",
            "telephone_number": "435-628-9600",
            "fax_number": "435-688-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 S RIVER RD BLDG D",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908285",
            "telephone_number": "435-628-9600",
            "fax_number": "435-688-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. JEPPSON DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-02-09",
        "status": "A",
        "authorized_official_last_name": "JEPPSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-628-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5262668-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; 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.