Individual provider Active NPI

Jansen C. Jones, D.O.

  • Occupational Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1669887659
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
12406836-1204 Issued in UT
Practice address
250 E 200 S RM 1202
Salt Lake City, UT 84111-2472
Phone
(801) 581-3841
NPI assigned
Jun 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0102204300 VA
Occupational Medicine Physician 2083X0100X 12406836-1204 UT Primary

Addresses

Primary practice location

250 E 200 S RM 1202
Salt Lake City, UT 84111-2472

Mailing address

250 E 200 S RM 1202
Salt Lake City, UT 84111-2472
Phone (801) 581-3841

Other practice location 1

18th Medical Group
Unit 5142
Apo, AP 96367-5142
Phone (575) 572-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102204300VAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1669887659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 200 S RM 1202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112472",
            "telephone_number": "801-581-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 200 S RM 1202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112472",
            "telephone_number": "801-581-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18th Medical Group",
            "address_2": "Unit 5142",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "963675142",
            "country_code": "US",
            "telephone_number": "575-572-2446",
            "fax_number": "575-572-2259",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JANSEN",
        "middle_name": "C.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102204300",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "UT",
            "license": "12406836-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.