Jordan Jenkins, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14223910-9926 Issued in UT

Practice address

1060 W Park LN Ste 110
Farmington, UT 84025-2994

Phone

(801) 797-0068

NPI assigned

May 23, 2025

Last updated

May 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Station Park Dental

  • Dental Clinic/Center
  • Farmington, UT
  • NPI 1689159147
  NPD (past)

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1710770615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 S 400 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114003",
            "telephone_number": "801-906-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W PARK LN STE 110",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252994",
            "telephone_number": "801-797-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JORDAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "14223910-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Hearing and Balance LLC
• Angela Lee Ivester, CRNA
• Melanie Hewitt Jackson, CSW
• Caitlyn Paige Jaklich, OTD, OTR/L
• Hans C Jenkins, D.O.
• Paul Russell Jensen, M.D.
• Ashlee Beth Johnson, ACMHC
• Dallin Johnson, DPT
• Johnsons Occupational Therapy
• Candis Nicole Jones, FNP-C

• Dentist in Farmington, UT
• Providers in Farmington, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.