Dentists of South Jordan, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF SOUTH JORDAN, LLP

Practice address

11501 S 4000 W Ste 101
South Jordan, UT 84009-6028

Phone

(801) 701-2120

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Burr

Title

Owner

Phone

(801) 701-2120

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Vanessa Bikhazi, DDS

  • Periodontics
  • South Jordan, UT
  • NPI 1215573522

  Multi-Specialty

  NPD (past)
• Derek Burgoyne, DMD

  • Dentist
  • South Jordan, UT
  • NPI 1871438119
  NPD (past)
• Alexander Harris, DDS

  • General Practice Dentistry
  • South Jordan, UT
  • NPI 1235799388
  NPD (past)
• Steven Gregory Prince, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • American Fork, UT
  • NPI 1326396383
  NPD (past)
• Brendon Thueson Tingey, DMD

  • Dentist
  • South Jordan, UT
  • NPI 1649848904

  General Practice

  NPD (past)

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1700391828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 S 4000 W STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840096028",
            "telephone_number": "801-701-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF SOUTH JORDAN, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-701-2120"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharen Deng
• David Densley, DDS
• Shelli Densley
• Kayla Michelle Denter, LCMHC
• Denticare, LLC
• Department of Ophthalmology
• Paula Diaz
• Carlie Didericksen
• Marian Dignan
• Evelyn Marie Dillingham

• General Practice Dentistry in South Jordan, UT
• Providers in South Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.