Active NPI
Rebecca Jane Love, DDS
- Dentist
- West Jordan, UT
National Provider Identifier
1598099004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5034715-9922
- Practice address
- 3491 Wights Fort Road
Salt Lake Community College HTC 133
West Jordan, UT 84088 - Phone
- (801) 957-2773
- NPI assigned
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5034715-9922 | UT | Primary |
| Dentist | 122300000X | 12416 | CA |
Addresses
Primary practice location
3491 Wights Fort Road
Salt Lake Community College HTC 133
West Jordan, UT 84088
Mailing address
3491 Wights Fort Road
Salt Lake Community College HTC 133
West Jordan, UT 84088
Phone (801) 957-2773
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5034715-9922 | UT | MD | Dentist |
| 12416 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1598099004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3491 WIGHTS FORT ROAD",
"address_2": "SALT LAKE COMMUNITY COLLEGE HTC 133",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "84088",
"telephone_number": "801-957-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3491 WIGHTS FORT ROAD",
"address_2": "SALT LAKE COMMUNITY COLLEGE HTC 133",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "84088",
"telephone_number": "801-957-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "REBECCA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "5034715-9922",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "12416",
"primary": false
}
],
"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 Sep 30, 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.