Active NPI
Russell Garrett Cortez II
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bountiful, UT
National Provider Identifier
1487535639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 14235846-9926
- Practice address
- 59 W Pages LN # 100
Bountiful, UT 84010-5988 - Phone
- (801) 292-1222
- NPI assigned
- Sep 11, 2025
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 14235846-9926 | UT | Primary |
Addresses
Primary practice location
59 W Pages LN # 100
Bountiful, UT 84010-5988
Mailing address
298 Edgemont Dr
North Salt Lake, UT 84054-2636
Phone (925) 784-8289
Other names 1
- Rett Cortez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14235846-9926 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487535639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 EDGEMONT DR",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840542636",
"telephone_number": "925-784-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 W PAGES LN # 100",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105988",
"telephone_number": "801-292-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "RUSSELL",
"middle_name": "GARRETT",
"name_prefix": "Dr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "14235846-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RETT",
"last_name": "CORTEZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.