Paul Lorin Child Jr., DMD, CDT

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

6940132-9922 Issued in UT

Practice address

10706 S River Front Pkwy
South Jordan, UT 84095-3519

Phone

(801) 252-1460

NPI assigned

Jun 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451001600000",
    "number": "1669634846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 S RIVER FRONT PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953519",
            "telephone_number": "801-252-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 S RIVER FRONT PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953519",
            "telephone_number": "801-252-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILD",
        "first_name": "PAUL",
        "middle_name": "LORIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD, CDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2015-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "UT",
            "license": "6940132-9922",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019.029036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Chau
• Lisa D Chavez, APC
• Halie Elizabeth Checketts, LCSW
• Mkell Chevalier
• Jeremy Robert Chidester, M.D.
• Heidi Childs
• April Chlarson, LCSW
• Choice Care Clinic of Utah, Inc.
• Christensen Orthodontics LLC
• Bryan Christensen

• Prosthodontics in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Prosthodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2015; 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.