Richard Kirkham Jolley

Primary specialty

DentistTaxonomy code 122300000X

License

137338 Issued in UT

Practice address

40 W 100 N
Vernal, UT 84078-2002

Phone

(435) 789-2888

Fax

(435) 789-7281

NPI assigned

Oct 15, 2014

Last updated

Mar 4, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 16, 2016 through Mar 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R K Jolley DDS PC

  • General Practice Dentistry
  • Vernal, UT
  • NPI 1851472658
  Authorized official Same address or phone
• RK Jolley DDS, PC

  • Dental Clinic/Center
  • Vernal, UT
  • NPI 1134523459
  NPD (past) Authorized official

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1902200223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 100 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782002",
            "telephone_number": "435-789-2888",
            "fax_number": "435-789-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 100 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782002",
            "telephone_number": "435-789-2888",
            "fax_number": "435-789-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "RICHARD",
        "middle_name": "KIRKHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "137338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordon Johnson
• Macy Johnson
• Taylor Johnson
• Oaklee Johnston
• Elliott Jolley
• Robert Kirkham Jolley, DDS
• Harold Kim Jones, DPM
• Journey Counseling Center Uintah LLC
• Eileen E Joyce, M.D.
• Catherine Patricia Jurado

• Dentist in Vernal, UT
• Providers in Vernal, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.