James Daniel Doll, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8980515-9923 Issued in UT

Practice address

1195 W Park LN Ste 101
Farmington, UT 84025-3665

Phone

(801) 882-8800

NPI assigned

Jul 10, 2009

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Station Park Pediatric Dentistry

  • Pediatric Dentistry
  • Farmington, UT
  • NPI 1689300360
  NPD Authorized official

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1770712838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 W PARK LN STE 101",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253665",
            "telephone_number": "801-882-8800",
            "fax_number": "801-882-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 W PARK LN STE 101",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253665",
            "telephone_number": "801-882-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "8980515-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphnee Decker, RBT
• David Ray Dedrickson, M.D.
• Vener Defriez, RN
• Bailley Ogles Dickerson, LCSW
• Divine Awakening Center LLC
• Daniel Mackenzie Donaldson, PHARMD
• Chandler Donkersgoed
• Kasandra Douglas, RBT
• Brandee Lee Lotte Downes
• Krista Lynn Duarte, LCSW

• Pediatric Dentistry in Farmington, UT
• Providers in Farmington, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.