Active NPI
Jose A Hernandez-Gil, DMD
- General Practice Dentistry
- West Valley City, UT
National Provider Identifier
1740416379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8677334-9926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8677334-9922 | Other | UT | UTAH DENTAL LICENSE |
| DD1927 | Other | NM | DENTAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSDT-14 | HI | MD | General Practice Dentistry |
| DD 1927 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Taylorsville, UT
- NPI 1275999443
-
dba Blue Hills Dental
- General Practice Dentistry
- West Valley, UT
- NPI 1053734384
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.