NPIMap

Organization Active NPI

Jerry V Brown

  • General Practice Dentistry
  • Lehi, UT
National Provider Identifier
1487946331
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
142464-9922 Issued in UT
Legal business name
JERRY V BROWN
Practice address
588 E Main St
Lehi, UT 84043-2246
Phone
(801) 768-8028
Fax
(801) 768-3567
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Jerry Vernal Brown, D.D.S.NPI 1962628438
Title
Dentist
Phone
(801) 768-8028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 142464-9922 UT Primary

Addresses

Primary practice location

588 E Main St
Lehi, UT 84043-2246

Mailing address

588 E Main St
Lehi, UT 84043-2246
Phone (801) 768-8028

National Provider Directory

National Provider Directory

Locations

588 E Main St
Lehi, UT 84043
Phone (801) 765-8028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1487946331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432246",
            "telephone_number": "801-768-8028",
            "fax_number": "801-768-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432246",
            "telephone_number": "801-768-8028",
            "fax_number": "801-768-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY V BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "VERNAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-768-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142464-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.