Active NPI
Bryce A Frandsen, DMD
- Dentist
- West Jordan, UT
National Provider Identifier
1912613167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 127972669922
- Practice address
- 1662 W 9000 S Ste a
West Jordan, UT 84088-9237 - Phone
- (801) 255-6581
- NPI assigned
- Jan 30, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 127972669922 | UT | Primary |
Addresses
Primary practice location
1662 W 9000 S Ste a
West Jordan, UT 84088-9237
Mailing address
1142 Robyn Way
Farmington, UT 84025-4314
Phone (801) 300-3420
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127972669922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Smiles LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- West Jordan, UT
- NPI 1194453100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1912613167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 ROBYN WAY",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840254314",
"telephone_number": "801-300-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 W 9000 S STE A",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889237",
"telephone_number": "801-255-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANDSEN",
"first_name": "BRYCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "127972669922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.