Organization Active NPI

Jeffrey J. Nelson M.D., P.C.

  • Otolaryngology Physician
  • West Jordan, UT
National Provider Identifier
1508197955
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
JEFFREY J. NELSON M.D., P.C.
Practice address
3584 W 9000 S
Suite 311
West Jordan, UT 84088-5710
Phone
(801) 566-8304
Fax
(801) 566-8330
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Jeffrey J Nelson, M.D.
Title
President
Phone
(801) 566-8304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

3584 W 9000 S
Suite 311
West Jordan, UT 84088-5710

Mailing address

3584 W 9000 S
Suite 311
West Jordan, UT 84088-5710
Phone (801) 566-8304

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1508197955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "SUITE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885710",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "SUITE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885710",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J. NELSON M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-566-8304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.