Fox Park Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOX PARK DENTAL

Practice address

9251 S Redwood Rd
West Jordan, UT 84088-5814

Phone

(801) 566-2155

NPI assigned

Aug 10, 2018

Organization subpart

No

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

Authorized official

Name

Jeremy Matthews, DMD

Title

Owner

Phone

(801) 797-0145

Specialties & licenses 1

Addresses

Other names 1

• Fox Park Dental Doing business as

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1437638327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N COMMERCE DR STE 200",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455310",
            "telephone_number": "801-797-0145",
            "fax_number": "801-768-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885814",
            "telephone_number": "801-566-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-797-0145",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Renae Ford
• Melody Forsyth, APRN
• Sydney Foulk
• Ryan Fowers, MS ATC-L CSCS
• Ayden Fowler
• Samuel Thomas Fox, CSUDC
• Alexis Francis
• Emily Francis, CSW
• Alexis Francisco Alejandro
• Blake Francisco, PHARMD, RPH

• 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 Aug 10, 2018; 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.