John R. Ayre, Jr. DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

374350 Issued in UT

Legal business name

JOHN R. AYRE, JR. DDS PC

Practice address

6973 S 4800 W
Suite C
West Jordan, UT 84084-7927

Phone

(801) 840-4833

Fax

(801) 969-2628

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John R Ayre Jr., DDS

Title

Owner

Phone

(801) 840-4833

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• a child's smile Doing business as

Locations

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1386956233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6973 S 4800 W",
            "address_2": "SUITE C",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840847927",
            "telephone_number": "801-840-4833",
            "fax_number": "801-969-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6973 S 4800 W",
            "address_2": "SUITE C",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840847927",
            "telephone_number": "801-840-4833",
            "fax_number": "801-969-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. AYRE, JR. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "AYRE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-840-4833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "374350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519024150002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a child's smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Kay Jimenez
• Virginia Jimenez, BCBA
• R Ryan Johansen, D.D.S.
• Richard Bart Johansen, MD
• Richard Eric Johansen, DDS
• Blake Wilson Johnson, D.O.
• Brian Lafe Johnson, DMD
• Dana L Johnson
• Daniel Thomas Johnson, D.V.M.
• Heather Johnson, DPT

• 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, 2010; 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.