Active NPI
Michael Brandon Jones, DMD
- Pediatric Dentistry
- Kaysville, UT
National Provider Identifier
1710061320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6509903-9923
- Practice address
- 2025 W 200 N Ste 1
Kaysville, UT 84037 - Phone
- (801) 544-3323
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30022427 | OH | |
| Pediatric Dentistry | 1223P0221X | 6509903-9923 | UT | Primary |
Addresses
Primary practice location
2025 W 200 N Ste 1
Kaysville, UT 84037
Mailing address
2025 W 200 N Ste 1
Kaysville, UT 84037-4300
Phone (801) 544-3233
Other practice location 1
250 W 200 N Ste 6
Kaysville, UT 84037-6701
Phone (801) 544-3323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30022427 | OH | MD | Dentist |
| 6509903-9923 | UT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Enterprises | Pediatric Dentistry | Current | Accepting new patients |
Locations
2025 W 200 N
#1
Kaysville, UT 84037
Phone (801) 544-3323
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Kaysville, UT
- NPI 1184281206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1710061320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 W 200 N STE 1",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840374300",
"telephone_number": "801-544-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 W 200 N STE 1",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "84037",
"telephone_number": "801-544-3323"
}
],
"practiceLocations": [
{
"address_1": "250 W 200 N Ste 6",
"address_purpose": "LOCATION",
"city": "Kaysville",
"state": "UT",
"postal_code": "840376701",
"country_code": "US",
"telephone_number": "801-544-3323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MICHAEL",
"middle_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30022427",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "UT",
"license": "6509903-9923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.