Jeffrey C Brown, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

142531 Issued in UT

Practice address

9251 Redwood Rd
West Jordan, UT 84088-5814

Phone

(801) 566-2155

Fax

(801) 561-2425

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376618314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885814",
            "telephone_number": "801-566-2155",
            "fax_number": "801-561-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885814",
            "telephone_number": "801-566-2155",
            "fax_number": "801-561-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL ID NUMBER",
            "identifier": "134718",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Brooks, TRS, CTRS
• Erica Lin Brown, PT, DPT
• Garrett D Brown
• Heather Rachelle Brown
• James A Brown, D.C.
• Kevin Brown
• Leslie L Brown, CPCI
• Parker Brown
• Karen Brucker
• Naomi Genevie Brunelle, B.S.

• General Practice Dentistry in West Jordan, UT
• Providers in West 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 Jul 8, 2007; 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.