Jared Richardson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7698821-9923 Issued in UT

Practice address

47 Crestwood Rd Ste 5
Kaysville, UT 84037-1445

Phone

(801) 546-2439

NPI assigned

Sep 5, 2007

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

Enrolled in UT

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kaysville Family Dentistry LLC

  • Dental Clinic/Center
  • Kaysville, UT
  • NPI 1730658071
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1922292671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N 25 E",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412971",
            "telephone_number": "228-365-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CRESTWOOD RD STE 5",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371445",
            "telephone_number": "801-546-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JARED",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7698821-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Regier
• Restoration Physical Therapy LLC
• Airyn Reyes
• Emily Martineau Rich
• Kori Dee Richards, FNP-C
• Melanie Richardson, LCSW
• Heather Gayle Rimington, APRN-PMHNP-BC
• Ken A Rivas, D.C.
• Dylan Norberto Rodriguez, PT, DPT
• Roe RX Inc

• General Practice Dentistry in Kaysville, UT
• Providers in Kaysville, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.