Organization Active NPI

Chase Judd, DDS, PLLC

  • Dentist
  • Draper, UT
National Provider Identifier
1316419294
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHASE JUDD, DDS, PLLC
Practice address
11760 S 700 E Ste 110
Draper, UT 84020-6605
Phone
(801) 571-6688
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Dr. Chase Judd, DDSNPI 1073856316
Title
Ceo
Phone
(801) 842-6664

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

11760 S 700 E Ste 110
Draper, UT 84020-6605

Mailing address

2038 W Park Rim Way
Riverton, UT 84065-4781
Phone (801) 842-6664

National Provider Directory

National Provider Directory

Locations

11760 S 700 E
Ste 110
Draper, UT 84020
Phone (801) 571-6688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1316419294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 W PARK RIM WAY",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840654781",
            "telephone_number": "801-842-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 S 700 E STE 110",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206605",
            "telephone_number": "801-571-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE JUDD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-842-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.