Individual provider Active NPI

Brigham G Colton, DMD

  • General Practice Dentistry
  • West Jordan, UT
National Provider Identifier
1568532869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5926034-9922 Issued in UT
Practice address
7613 Jordan Landing Blvd
Suite 110
West Jordan, UT 84084-1972
Phone
(801) 282-2323
Fax
(801) 282-3440
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5926034-9922 UT Primary

Addresses

Primary practice location

7613 Jordan Landing Blvd
Suite 110
West Jordan, UT 84084-1972

Mailing address

7613 Jordan Landing Blvd
Suite 110
West Jordan, UT 84084-1972
Phone (801) 282-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702000976 UT Practitioner - Oral Surgery 3971815093 Practice locations: West Jordan, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Valley Dental PastSince May 4, 2015 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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568532869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 JORDAN LANDING BLVD",
            "address_2": "SUITE 110",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841972",
            "telephone_number": "801-282-2323",
            "fax_number": "801-282-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 JORDAN LANDING BLVD",
            "address_2": "SUITE 110",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841972",
            "telephone_number": "801-282-2323",
            "fax_number": "801-282-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTON",
        "first_name": "BRIGHAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5926034-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.