Jonathan Daniel Greenhalgh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6606925 Issued in UT

Practice address

2201 N 400 E
North Ogden, UT 84414-7210

Phone

(801) 782-6681

Fax

(801) 786-0539

NPI assigned

Jun 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comfort Family Dental of South Ogden, LLC

  • General Practice Dentistry
  • South Ogden, UT
  • NPI 1235323932
  NPD (past)
• Northview Dental Associates LLC

  • General Practice Dentistry
  • North Ogden, UT
  • NPI 1790790426
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306042247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 N 1775 W",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844042786",
            "telephone_number": "801-648-6441",
            "fax_number": "801-340-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147210",
            "telephone_number": "801-782-6681",
            "fax_number": "801-786-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHALGH",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6606925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent P Florence, RPH
• Jeffrey Fowers, PHARMD
• Laura Palmer Fuller, LCSW
• Lester Ray Garner Jr., D.D.S.
• Brendan Rodney Green, DDS
• Patricia Grissom, APRN
• Dana Leigh Guenther, DDS
• Rachael Ann Haines, DO
• Half Dental Ogden
• Half Dental Utah LLC

• General Practice Dentistry in North Ogden, UT
• Providers in North Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.