John Tyler Zagorec, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8264015-9926 Issued in UT

Practice address

3785 W 10400 S Ste 103
South Jordan, UT 84009-5649

Phone

(801) 253-2249

NPI assigned

May 29, 2018

Last updated

Oct 16, 2023By 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 2

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1346731122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 E DOWNINGTON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053735",
            "telephone_number": "801-652-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 W 10400 S STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095649",
            "telephone_number": "801-253-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 S Main St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "43402",
            "country_code": "US",
            "telephone_number": "419-742-0280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641051215",
            "country_code": "US",
            "telephone_number": "816-867-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAGOREC",
        "first_name": "JOHN",
        "middle_name": "TYLER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020025428",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8264015-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Young-Hyman
• Jahkoby Young, MS, CCC-SLP
• Parker Young
• Tyler Jacob Young, CMHC
• Youthful Renewal
• Daniela Elena Zamora, LCSW
• Zachary Robert Zarbock, M.D.
• Cindya Zavala-Aguilera, RBT
• Kimberly Zumwalt, RPH
• Aimee D Zwahlen

• 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 Oct 16, 2023; 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.