Organization Active NPI

Jody W. Adams DDS PC

  • General Practice Dentistry
  • Brigham City, UT
National Provider Identifier
1215204573
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2064 Issued in UT
Legal business name
JODY W. ADAMS DDS PC
Practice address
241 W Forest St
Brigham City, UT 84302-2022
Phone
(435) 723-6120
Fax
(435) 723-2861
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Jody W. Adams
Title
Owner
Phone
(435) 723-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2064 UT Primary

Addresses

Primary practice location

241 W Forest St
Brigham City, UT 84302-2022

Mailing address

241 W Forest St
Brigham City, UT 84302-2022
Phone (435) 723-6120

Other identifiers 1

IdentifierTypeStateIssuer
451293689003MedicaidUT

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1215204573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W FOREST ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022022",
            "telephone_number": "435-723-6120",
            "fax_number": "435-723-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W FOREST ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022022",
            "telephone_number": "435-723-6120",
            "fax_number": "435-723-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY W. ADAMS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-723-6120",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "2064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451293689003",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.