Parker Brown

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11732637-9922 Issued in UT

Practice address

Jordan Valley Dental
7452 S Campus Drive
West Jordan, UT 84084

Phone

(801) 282-2323

NPI assigned

May 18, 2020

Last updated

May 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Parker Nielson Brown Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1386267938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JORDAN VALLEY DENTAL",
            "address_2": "7452 S CAMPUS DRIVE",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JORDAN VALLEY DENTAL",
            "address_2": "7452 S CAMPUS DRIVE",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84084",
            "telephone_number": "801-282-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 s center street",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "84057",
            "country_code": "US",
            "telephone_number": "801-788-4922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PARKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11732637-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARKER",
            "last_name": "BROWN",
            "middle_name": "NIELSON",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heather Rachelle Brown
• James A Brown, D.C.
• Jeffrey C Brown, DDS
• Kevin Brown
• Leslie L Brown, CPCI
• Karen Brucker
• Naomi Genevie Brunelle, B.S.
• Bryan D. Gordon P.C.
• Meagan Bryan, APRN
• Philip James Bryan, MSW, MS

• 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 May 18, 2020; 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.