Active NPI
Jonathan M Rasmussen, DDS
- Prosthodontics
- Sandy, UT
National Provider Identifier
1811964521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 73307789922
- Practice address
- 7410 Creek Rd
Sandy, UT 84093-6140 - Phone
- (801) 352-7889
- NPI assigned
- Mar 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 73307789922 | UT | Primary |
Addresses
Primary practice location
7410 Creek Rd
Sandy, UT 84093-6140
Mailing address
7410 Creek Rd
Sandy, UT 84093-6140
Phone (801) 352-7889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006644300 | Medicaid | MN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73307789922 | UT | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1811964521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7410 CREEK RD",
"city": "SANDY",
"state": "UT",
"postal_code": "840936140",
"telephone_number": "801-352-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 CREEK RD",
"city": "SANDY",
"state": "UT",
"postal_code": "840936140",
"telephone_number": "801-352-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "JONATHAN",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "UT",
"license": "73307789922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006644300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.