Jed C. Nordfelt, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9474332-9922 Issued in UT

Practice address

6351 W 13400 S
Herriman, UT 84096-5790

Phone

(801) 302-1045

NPI assigned

Jun 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1871888735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 S PERIGRINE WAY",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205304",
            "telephone_number": "502-759-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 W 13400 S",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965790",
            "telephone_number": "801-302-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDFELT",
        "first_name": "JED",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "9474332-9922",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871888735",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871888735",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Nelson, CCC-SLP
• Melissa Nelson
• Ann Mai Tram Nguyen, APRN
• Nicole Nielsen
• Heidi Kiersten Niitsuma, RBT
• Cassidy L Nordhoff, CMHC
• Mylinda Nunes, RN, IBCLC
• Florencia Nunez
• Nutrix Utah PC
• Nutrix Utah PC

• Pediatric Dentistry in Herriman, UT
• Providers in Herriman, 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 25, 2015; 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.