NPIMap

Organization Active NPI

C. Jackson Allan DDS PC

  • Dentist
  • West Jordan, UT
National Provider Identifier
1235449919
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5149430 Issued in UT
Legal business name
C. JACKSON ALLAN DDS PC
Practice address
2414 W 7800 S
West Jordan, UT 84088-4292
Phone
(801) 565-7455
Fax
(801) 569-1922
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Craig Jackson Allan, DDSNPI 1669566949
Title
Dentist/President
Phone
(801) 565-7455

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5149430 UT Primary

Addresses

Primary practice location

2414 W 7800 S
West Jordan, UT 84088-4292

Mailing address

2414 W 7800 S
West Jordan, UT 84088-4292
Phone (801) 565-7455

National Provider Directory

National Provider Directory

Locations

2414 W 7800 S
West Jordan, UT 84088
Phone (801) 565-7455

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": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1235449919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884292",
            "telephone_number": "801-565-7455",
            "fax_number": "801-569-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884292",
            "telephone_number": "801-565-7455",
            "fax_number": "801-569-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. JACKSON ALLAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "801-565-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "5149430",
            "primary": true
        }
    ],
    "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 Oct 15, 2010; 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.