Organization Active NPI

E Alan Jeppsen MD PC

  • Psychiatry Physician
  • Salt Lake City, UT
National Provider Identifier
1699108225
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
149728-1205 Issued in UT
Legal business name
E ALAN JEPPSEN MD PC
Practice address
5005 S 900 E
Suite 100
Salt Lake City, UT 84117-5788
Phone
(801) 598-8228
Fax
(801) 262-7567
NPI assigned
Aug 19, 2013
Last updated
Aug 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Dr. Ernerst Alan Jeppsen, M.D.
Title
Doctor
Phone
(801) 598-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 149728-1205 UT Primary

Addresses

Primary practice location

5005 S 900 E
Suite 100
Salt Lake City, UT 84117-5788

Mailing address

PO Box 27688
Salt Lake City, UT 84127-0688
Phone (801) 534-1360

National Provider Directory

National Provider Directory

Locations

5005 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 264-8561

715 E 3900 S
Ste 200
Salt Lake City, UT 84107
Phone (801) 266-7565

546 S Chipeta Way
#433
Salt Lake Cty, UT 84108
Phone (801) 585-7565

546 S Chipeta Way
Ste 433
Salt Lake Cty, UT 84108
Phone (801) 585-7565

220 Millpond
Ste 103
Tooele, UT 84074
Phone (435) 843-9600

Practitioners & affiliated clinicians

Practitioners 3

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": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1699108225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27688",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270688",
            "telephone_number": "801-534-1360",
            "fax_number": "801-366-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 S 900 E",
            "address_2": "SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175788",
            "telephone_number": "801-598-8228",
            "fax_number": "801-262-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E ALAN JEPPSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "JEPPSEN",
        "authorized_official_first_name": "ERNERST",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-598-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "149728-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.