Individual provider Active NPI

Mark England Ludlow, DMD

  • General Practice Dentistry
  • West Jordan, UT
National Provider Identifier
1770701914
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6225052-9922 Issued in UT
Practice address
1227 West 9000 South Apex Family and Cosmetic Dentist
Suite E
West Jordan, UT 84088-9010
Phone
(801) 677-2739
Fax
(801) 676-0480
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6225052-9922 UT Primary

Addresses

Primary practice location

1227 West 9000 South Apex Family and Cosmetic Dentist
Suite E
West Jordan, UT 84088-9010

Mailing address

1227 West 9000 South Apex Family and Cosmetic Dentist
Suite E
West Jordan, UT 84088-9010
Phone (801) 677-2739

Other identifiers 2

IdentifierTypeStateIssuer
41408MedicaidND
DD528UTMedicaidAK

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
6225052-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Family & Cosmetic Dentistry General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mludlow541136@direct.med.utah.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770701914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 WEST 9000 SOUTH APEX FAMILY AND COSMETIC DENTIST",
            "address_2": "SUITE E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889010",
            "telephone_number": "801-677-2739",
            "fax_number": "801-676-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 WEST 9000 SOUTH APEX FAMILY AND COSMETIC DENTIST",
            "address_2": "SUITE E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889010",
            "telephone_number": "801-677-2739",
            "fax_number": "801-676-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDLOW",
        "first_name": "MARK",
        "middle_name": "ENGLAND",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6225052-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41408",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD528UT",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.