NPIMap

Organization Active NPI

Ford & Draper Dental LLC

  • Dental Clinic/Center
  • South Ogden, UT
National Provider Identifier
1801004874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FORD & DRAPER DENTAL LLC
Practice address
1508 E Skyline Dr
Suite 400
South Ogden, UT 84405-4846
Phone
(801) 475-6500
Fax
(801) 479-5904
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jonathan G. Ford, D.D.S.NPI 1023136488
Title
Owner
Phone
(801) 475-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1508 E Skyline Dr
Suite 400
South Ogden, UT 84405-4846

Mailing address

1508 E Skyline Dr
Suite 400
South Ogden, UT 84405-4846
Phone (801) 475-6500

Other identifiers 2

IdentifierTypeStateIssuer
529356756000MedicaidUT
529356730001MedicaidUT

National Provider Directory

National Provider Directory

Locations

1508 E Skyline Dr
Ste 400
South Ogden, UT 84405
Phone (801) 475-6500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801004874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 E SKYLINE DR",
            "address_2": "SUITE 400",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054846",
            "telephone_number": "801-475-6500",
            "fax_number": "801-479-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 E SKYLINE DR",
            "address_2": "SUITE 400",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054846",
            "telephone_number": "801-475-6500",
            "fax_number": "801-479-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD & DRAPER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-475-6500",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529356756000",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529356730001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.