NPIMap

Organization Active NPI

Rodney M. Jex DPM

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
National Provider Identifier
1235299561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
22-102019-0501 Issued in UT
Legal business name
RODNEY M. JEX DPM
Doing business as
Dr.Rodney M. Jex
Practice address
425 Medical Dr
Ste 215
Bountiful, UT 84010-4945
Phone
(801) 292-9222
Fax
(801) 298-3987
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rodney M. Jex, DPMNPI 1912986662
Title
Owner
Phone
(801) 292-9222

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 22-102019-0501 UT Primary

Addresses

Primary practice location

425 Medical Dr
Ste 215
Bountiful, UT 84010-4945

Mailing address

425 Medical Dr
Ste 215
Bountiful, UT 84010-4945
Phone (801) 292-9222

Other identifiers 1

IdentifierTypeStateIssuer
529589232015MedicaidUT

Other names 1

  • Dr.Rodney M. Jex Doing business as

National Provider Directory

National Provider Directory

Locations

425 Medical Dr
Ste 215
Bountiful, UT 84010
Phone (801) 292-9222

Practitioners & affiliated clinicians

Practitioners 1

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235299561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR",
            "address_2": "STE 215",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104945",
            "telephone_number": "801-292-9222",
            "fax_number": "801-298-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR",
            "address_2": "STE 215",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104945",
            "telephone_number": "801-292-9222",
            "fax_number": "801-298-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY M. JEX DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEX",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-292-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "22-102019-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529589232015",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.Rodney M. Jex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.