Jason Brimley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12888079-8903 Issued in UT

Practice address

1091 N Bluff St Ste 812
St George, UT 84770-7054

Phone

(435) 688-2772

NPI assigned

Jul 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Intermountain Dentures PLLC

  dba Smiles Restored

  • General Practice Dentistry
  • St George, UT
  • NPI 1659652519
  Medicare reassignment NPD
• Chandler Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1780449009
  NPD (past)
• Norterra Dental Group and Orthodontics, LLP

  dba Norterra Dental Group and Orthodontics

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1861628992
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1467804583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 N BLUFF ST STE 812",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707054",
            "telephone_number": "435-688-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 N BLUFF ST STE 812",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707054",
            "telephone_number": "435-688-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2217 W Happy Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850851604",
            "country_code": "US",
            "telephone_number": "623-581-7031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2217 W Happy Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850851604",
            "country_code": "US",
            "telephone_number": "623-581-7031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "432 Butterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Chino Valley",
            "state": "AZ",
            "postal_code": "863235613",
            "country_code": "US",
            "telephone_number": "928-636-1565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIMLEY",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009512",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "12888079-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge Clinic, PLLC (St. George Dermatology)
• Bright Horizon Counseling PLLC
• Brightening Within Counseling, LLC
• Brightenlife Hospice, L.L.C.
• James Holden Brimhall, LCSW
• Brecklyn Lee Brindley
• Ashliegh Brinkerhoff
• Casia Brinkerhoff
• Jace Brinkerhoff
• Justin L Brinkerhoff, PA-C

• Dentist in St George, UT
• Providers in St George, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.