City of South Jordan

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

1858L Issued in UT

Legal business name

CITY OF SOUTH JORDAN

Practice address

10758 S Redwood Rd
South Jordan, UT 84095-8507

Phone

(801) 254-0948

Fax

(801) 254-8356

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Christopher D Evans

Title

Fire Chief

Phone

(801) 254-0948

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Jordan City Fire Department Other name

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1215128582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 TOWNE CENTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958697",
            "telephone_number": "801-254-0948",
            "fax_number": "801-254-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10758 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958507",
            "telephone_number": "801-254-0948",
            "fax_number": "801-254-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTH JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "801-254-0948"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "UT",
            "license": "1858L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "81703",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Jordan City Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindy Snell Christensen, LCSW
• Michael Rey Christensen, PA
• Todd Lyal Christensen, DMD
• Sara Kathleen Christman, PHD
• Jordon Kamakilaonalani Ciriako
• City of South Jordan
• Clark Dental P.C.
• Brianna Clark
• Cameron Clark
• Elizabeth Clark

• State or Local Public Health Clinic/Center in South Jordan, UT
• Providers in South Jordan, UT by specialty
• State or Local Public Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.