Jordan Valley Dental

Primary specialty

DentistTaxonomy code 122300000X

License

5926034 Issued in UT

Legal business name

JORDAN VALLEY DENTAL

Practice address

7613 S Jordan Landing Blvd Ste 110
West Jordan, UT 84084-1973

Phone

(801) 282-2323

Fax

(801) 282-3440

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brigham G Colton, DMDNPI 1568532869

Title

Owner/Dentist

Phone

(801) 282-2323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brigham G Colton, DMD

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1568532869
  NPD (past) Authorized official

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1366891798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 S JORDAN LANDING BLVD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841972",
            "telephone_number": "801-282-2323",
            "fax_number": "801-282-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 S JORDAN LANDING BLVD STE 110",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841973",
            "telephone_number": "801-282-2323",
            "fax_number": "801-282-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN VALLEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "COLTON",
        "authorized_official_first_name": "BRIGHAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-282-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "5926034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528618929002 UT",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Landing Pediatric Dentistry DDS
• Jordan Landing Pediatrics
• Jordan River Women'S Health, P.C.
• Jordan Valley & Mountain Point Medical Center, LLC
• Jordan Valley & Mountain Point Medical Center, LLC
• Jordan Valley Dermatology Center LLC
• Jordan Valley Family Health
• Jordan Valley Medical Center LP
• Jordan Valley Medical Center LP
• Jordan Valley Pediatrics

• Dentist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.