Jared Glen Curtis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9094625-9922 Issued in UT

Practice address

4775 W Daybreak Pkwy
Suite 201
South Jordan, UT 84095-5138

Phone

(801) 280-1911

Fax

(801) 255-2394

NPI assigned

Jun 10, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1346688520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 W DAYBREAK PKWY",
            "address_2": "SUITE 201",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955138",
            "telephone_number": "801-280-1911",
            "fax_number": "801-255-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 W DAYBREAK PKWY",
            "address_2": "SUITE 201",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955138",
            "telephone_number": "801-280-1911",
            "fax_number": "801-255-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "JARED",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60384641",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4540",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9094625-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katia Crowther
• Kyle Crutcher, PHARMD
• Ctr Supports
• Clint Arthur Curry, MS CCC-SLP
• Scott McLeod Curry, PH.D.
• David Johnson Cutler, CCC/SLP
• Carly Ann Czach
• Laura Janeen Da Silva, LPC
• Preston Robert Dahlgren, MFT
• Daily Practice Therapy

• General Practice Dentistry in South Jordan, UT
• Providers in South Jordan, 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 Sep 9, 2014; 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.