Jordan Landing Dental Care, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

357970 Issued in UT

Legal business name

JORDAN LANDING DENTAL CARE, PC

Practice address

7611 Jordan Landing Blvd Ste 201
West Jordan, UT 84084-5613

Phone

(801) 280-7001

Fax

(801) 280-7076

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Vaughn Erickson, DMDNPI 1053520643

Title

Dentist

Phone

(801) 280-7001

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Andrew V Erickson, DMD

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1053520643
  NPD (past) Authorized official
• John Andrew Chappell, DMD

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1396236501
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1487963278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 JORDAN LANDING BLVD STE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845613",
            "telephone_number": "801-280-7001",
            "fax_number": "801-280-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 JORDAN LANDING BLVD STE 201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845613",
            "telephone_number": "801-280-7001",
            "fax_number": "801-280-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN LANDING DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "VAUGHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-280-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "357970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Jones
• Christina N Jonkman, FNP
• Mickeal Paul Joos
• Jordan Family Health, LLC
• Jordan Health Associates, Inc.
• Jordan Landing Dental Management
• Jordan Landing Family Medicine LLC
• Jordan Landing Pediatric Dentistry DDS
• Jordan Landing Pediatrics
• Jordan River Women'S Health, P.C.

• 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 Sep 28, 2010; 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.