Individual provider Active NPI

Glen Craig Bills, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Jordan, UT
National Provider Identifier
1225230535
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6414895-9921 Issued in UT
Practice address
7555 Center View CT
Suite 204
West Jordan, UT 84084-1970
Phone
(801) 566-5681
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6414895-9921 UT Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 55509 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D7118 AZ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D-3835-OR ID

Addresses

Primary practice location

7555 Center View CT
Suite 204
West Jordan, UT 84084-1970

Mailing address

7555 Center View CT
Suite 204
West Jordan, UT 84084-1970
Phone (801) 566-5681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D7118AZMDOrthodontics and Dentofacial Orthopedic Dentist
D-3835-ORIDMDOrthodontics and Dentofacial Orthopedic Dentist
6414895-9921UTMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1225230535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 CENTER VIEW CT",
            "address_2": "SUITE 204",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841970",
            "telephone_number": "801-566-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 CENTER VIEW CT",
            "address_2": "SUITE 204",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841970",
            "telephone_number": "801-566-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLS",
        "first_name": "GLEN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "6414895-9921",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55509",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D7118",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-3835-OR",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.