Cedar City Red Rocks PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

CEDAR CITY RED ROCKS PC

Practice address

66 W Harding Ave Ste a
Cedar City, UT 84720-2596

Phone

(435) 289-6600

Fax

(435) 289-6900

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Dayne R Jensen, DMD

Title

Oral Surgeon/Owner

Phone

(801) 997-9017

Specialties & licenses 1

Addresses

Other names 1

• Cedar City Red Rocks Doing business as

Locations

Practitioners 1

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

• Jared Wayne Mack, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • St George, UT
  • NPI 1306092663
  NPD (past)

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1497498158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W HARDING AVE STE A",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847202596",
            "telephone_number": "435-289-6600",
            "fax_number": "435-289-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W HARDING AVE STE A",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847202596",
            "telephone_number": "435-289-6600",
            "fax_number": "435-289-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CITY RED ROCKS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORAL SURGEON/OWNER",
        "authorized_official_telephone_number": "801-997-9017",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar City Red Rocks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cedar City Institute of Women'S Health PC
• Cedar City Nursing Home LLC
• Cedar City Urgent Care
• Cedar Counseling
• Cedar Dermatology PLLC
• Cedar Drug and Gift, Inc
• Cedar Drug and Gift, Inc

• Oral & Maxillofacial Surgery (D.M.D.) in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.