Active NPI
Daybreak PDC PLLC
- Dentist
- South Jordan, UT
National Provider Identifier
1699317685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DAYBREAK PDC PLLC
- Doing business as
- Platinum Dental Care
- Practice address
- 4040 West Daybreak Pkwy
Suite 103
South Jordan, UT 84009-1286 - Phone
- (385) 279-4334
- Fax
- (385) 212-3268
- NPI assigned
- Oct 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Warner
- Title
- Credentialing Manager
- Phone
- (385) 279-4334
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Periodontics | 1223P0300X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
4040 West Daybreak Pkwy
Suite 103
South Jordan, UT 84009-1286
Mailing address
PO Box 970325
Orem, UT 84097-0309
Phone (801) 305-3460
Other names 1
- Platinum Dental Care
National Provider Directory
National Provider DirectoryLocations
4040 W Daybreak Pkwy
Ste 103
South Jordan, UT 84009
Phone (385) 279-4334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- South Jordan, UT
- NPI 1427785989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570752000000",
"number": "1699317685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 970325",
"city": "OREM",
"state": "UT",
"postal_code": "840970309",
"telephone_number": "801-305-3460",
"fax_number": "801-335-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 WEST DAYBREAK PKWY",
"address_2": "SUITE 103",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840091286",
"telephone_number": "385-279-4334",
"fax_number": "385-212-3268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYBREAK PDC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "385-279-4334"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Platinum Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.