City of South Jordan

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1858L Issued in UT

Legal business name

CITY OF SOUTH JORDAN

Practice address

10758 S Redwood Road
South Jordan, UT 84095-8507

Phone

(801) 254-0948

Fax

(801) 254-8356

NPI assigned

Aug 31, 2006

Last updated

Apr 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Dawson

Title

Fire Chief

Phone

(801) 910-6601

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Jordan City Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1437260817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 TOWNE CENTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958697",
            "telephone_number": "801-254-0948",
            "fax_number": "801-254-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10758 S REDWOOD ROAD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958507",
            "telephone_number": "801-254-0948",
            "fax_number": "801-254-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTH JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "801-910-6601"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "1858L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "81703",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Jordan City Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "South Jordan City Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Rey Christensen, PA
• Todd Lyal Christensen, DMD
• Sara Kathleen Christman, PHD
• Jordon Kamakilaonalani Ciriako
• City of South Jordan
• Clark Dental P.C.
• Brianna Clark
• Cameron Clark
• Elizabeth Clark
• Shay Clark, APC

• Land Ambulance in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.