NPIMap

Organization Active NPI

Jeppson Dental

  • Dental Clinic/Center
  • Provo, UT
National Provider Identifier
1497850309
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2946929922 Issued in UT
Legal business name
JEPPSON DENTAL
Practice address
86 N University Ave Ste 280
Provo, UT 84601-5658
Phone
(801) 356-7701
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Dr. Joe C Jeppson, DMD
Title
President
Phone
(801) 356-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2946929922 UT Primary

Addresses

Primary practice location

86 N University Ave Ste 280
Provo, UT 84601-5658

Mailing address

86 N University Ave Ste 280
Provo, UT 84601-5658
Phone (801) 356-7701

Other identifiers 1

IdentifierTypeStateIssuer
1223G0001XOtherUTGENERAL DENTIST

National Provider Directory

National Provider Directory

Locations

86 N University Ave
Ste 280
Provo, UT 84601
Phone (801) 356-7701

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1497850309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 N UNIVERSITY AVE STE 280",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015658",
            "telephone_number": "801-356-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 N UNIVERSITY AVE STE 280",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015658",
            "telephone_number": "801-356-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEPPSON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "JEPPSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-356-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "2946929922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1223G0001X",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.