Active NPI
John Andrew Chappell, DMD
- General Practice Dentistry
- West Jordan, UT
National Provider Identifier
1396236501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-4921
- Practice address
- 7611 S Jordan Landing Blvd Ste 201
West Jordan, UT 84084-5613 - Phone
- (801) 280-7001
- Fax
- (801) 280-7076
- NPI assigned
- May 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-4921 | ID | Primary |
Addresses
Primary practice location
7611 S Jordan Landing Blvd Ste 201
West Jordan, UT 84084-5613
Mailing address
7611 S Jordan Landing Blvd Ste 201
West Jordan, UT 84084-5613
Phone (801) 280-7001
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190820000946 | UT | Order and Referring Only - Dentist | 2668700394 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-4921 | ID | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tooth Sleuth Industries PLLC Dba Jordan Landing Dental Care | General Practice | Current | Accepting new patients |
| Jordan Landing Dental Care, PC | General Practice | Past | Accepting new patients |
Locations
7611 S Jordan Landing Blvd
Ste 201
West Jordan, UT 84084
Phone (801) 280-7001
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jordan Landing Dental Care
- General Practice Dentistry
- West Jordan, UT
- NPI 1285410779
-
- General Practice Dentistry
- West Jordan, UT
- NPI 1487963278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1396236501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 S JORDAN LANDING BLVD STE 201",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845613",
"telephone_number": "801-280-7001",
"fax_number": "801-280-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 S JORDAN LANDING BLVD STE 201",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845613",
"telephone_number": "801-280-7001",
"fax_number": "801-280-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELL",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-4921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.