Jonathan Michael Hanks, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9423399 Issued in UT

Practice address

7632 S Campus View Dr Ste 150
West Jordan, UT 84084-5545

Phone

(801) 282-5439

NPI assigned

Jun 17, 2010

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jhanks220401@direct.gundersenhealth.org

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1316268915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6664 CASBERG COULEE RD",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369038",
            "telephone_number": "361-717-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 S CAMPUS VIEW DR STE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845545",
            "telephone_number": "801-282-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Copeland Ave",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546033400",
            "country_code": "US",
            "telephone_number": "608-782-4054",
            "fax_number": "608-782-2198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 W 1500 S Ste 130",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "UT",
            "postal_code": "847017117",
            "country_code": "US",
            "telephone_number": "435-896-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKS",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN-10197",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "1001174",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "9423399",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "1001174",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "S108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Hancock
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• Luanne Handrahan
• Elizabeth Hankins, AU.D.
• Joshua Hankins, BC-HIS
• McKenna Hanney
• Adia Maren Hansen, RN
• Daniel Robert Hansen, DC
• Jaydale Logan Hansen
• Kristi Lynn Hansen

• Pediatric Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.