Active NPI
Christopher Joseph Price, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- South Jordan, UT
National Provider Identifier
1508069105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 6922082-9924
- Practice address
- 3473 W South Jordan Pkwy Ste 4
South Jordan, UT 84095-6016 - Phone
- (801) 446-4428
- NPI assigned
- Jun 9, 2007
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6922082-9924 | UT | Primary |
Addresses
Primary practice location
3473 W South Jordan Pkwy Ste 4
South Jordan, UT 84095-6016
Mailing address
3473 W South Jordan Pkwy Ste 4
South Jordan, UT 84095-6016
Phone (801) 446-4428
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6922082-9924 | UT | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Facial & Oral Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Preferred Provider Organization
- South Jordan, UT
- NPI 1407261506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1508069105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3473 W SOUTH JORDAN PKWY STE 4",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840956016",
"telephone_number": "801-446-4428",
"fax_number": "801-758-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3473 W SOUTH JORDAN PKWY STE 4",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840956016",
"telephone_number": "801-446-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "CHRISTOPHER",
"middle_name": "JOSEPH",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-09",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "UT",
"license": "6922082-9924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.