Active NPI
Jeffrey David Adams, DMD
- Dentist
- American Fork, UT
National Provider Identifier
1427136605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010316A
- Practice address
- 484 North 950 West Suite C
The Meadows Shopping Center
American Fork, UT 84003 - Phone
- (801) 756-7676
- Fax
- (801) 756-2171
- NPI assigned
- Nov 2, 2006
- Last updated
- Nov 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12010316A | IN | Primary |
Addresses
Primary practice location
484 North 950 West Suite C
The Meadows Shopping Center
American Fork, UT 84003
Mailing address
484 North 950 West Suite C
The Meadows Shopping Center
American Fork, UT 84003
Phone (801) 756-7676
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 |
|---|---|---|---|---|
| I20160107001718 | UT | Order and Referring Only - Dentist | 3476872581 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010316A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Dentures-American Fork, P. C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Highland, UT
- NPI 1689012262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1427136605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 NORTH 950 WEST SUITE C",
"address_2": "THE MEADOWS SHOPPING CENTER",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "84003",
"telephone_number": "801-756-7676",
"fax_number": "801-756-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 NORTH 950 WEST SUITE C",
"address_2": "THE MEADOWS SHOPPING CENTER",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "84003",
"telephone_number": "801-756-7676",
"fax_number": "801-756-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010316A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in American Fork, UT
- Kesiena Abeke
- Ability Diagnostics, LLC
- Abundant Dental Care LLC (Abundant Dental Care of American Fork)
- Acadian Counseling Service, LLC (Acadian Counseling)
- Access Private Duty, LLC
- Kenzi Adams, LCSW
- Lindsay Erin Adams, PA
- Advanced Therapy Clinic LLC
- Affinity Services, Inc.
- After Hours Medical LLC, Dba Medallus Medical (After Hours Medical-American Fork Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.