NPIMap

Organization Active NPI

JXC LLC

Doing business as Dana Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Valley City, UT
National Provider Identifier
1619175197
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7992771 Issued in UT
Legal business name
JXC LLC
Doing business as
Dana Orthodontics
Practice address
4575 S 5600 W
West Valley City, UT 84120-4639
Phone
(801) 955-4400
Fax
(801) 955-4900
NPI assigned
Jul 6, 2007
Last updated
May 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Brion Conway
Title
Managing Member
Phone
(801) 955-4400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6994989 UT
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7992771 UT Primary

Addresses

Primary practice location

4575 S 5600 W
West Valley City, UT 84120-4639

Mailing address

4575 S 5600 W
West Valley City, UT 84120-4639
Phone (801) 955-4400

Other names 1

  • Dana Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

4575 S 5600 W
West Valley City, UT 84120
Phone (801) 955-4400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1619175197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 S 5600 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841204639",
            "telephone_number": "801-955-4400",
            "fax_number": "801-955-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 S 5600 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841204639",
            "telephone_number": "801-955-4400",
            "fax_number": "801-955-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JXC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "BRION",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-955-4400"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "6994989",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "7992771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dana Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dana Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.