Individual provider Active NPI

Jose A Hernandez-Gil, DMD

  • General Practice Dentistry
  • West Valley City, UT
National Provider Identifier
1740416379
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8677334-9926 Issued in UT
Practice address
4577 S 4000 W
West Valley City, UT 84120-6222
Phone
(808) 966-0900
Fax
(801) 966-5046
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8677334-9926 UT Primary
General Practice Dentistry 1223G0001X DD 1927 NM
General Practice Dentistry 1223G0001X CSDT-14 HI

Addresses

Primary practice location

4577 S 4000 W
West Valley City, UT 84120-6222

Mailing address

PO Box 403
Tesuque, NM 87574-0403
Phone (505) 780-8286

Other identifiers 2

IdentifierTypeStateIssuer
8677334-9922OtherUTUTAH DENTAL LICENSE
DD1927OtherNMDENTAL LICENSE

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

LicenseStateTypeSpecialty
CSDT-14HIMDGeneral Practice Dentistry
DD 1927NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Taylorsville Emergency and Family Dental, LLC General Practice Past Accepting new patients
Access Professional Dental Care,LLC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1740416379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "875740403",
            "telephone_number": "505-780-8286",
            "fax_number": "505-780-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 S 4000 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841206222",
            "telephone_number": "808-966-0900",
            "fax_number": "801-966-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-GIL",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8677334-9926",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD 1927",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "CSDT-14",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH DENTAL LICENSE",
            "identifier": "8677334-9922",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DD1927",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.