Individual provider Active NPI

Jeremy Charles Karras, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pleasant Grove, UT
National Provider Identifier
1932388683
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6920699-9921 Issued in UT
Practice address
1088 N Northcounty Blvd
Pleasant Grove, UT 84062-3466
Phone
(801) 477-7325
NPI assigned
Oct 30, 2007
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 08361 IA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6920699-9921 UT Primary

Addresses

Primary practice location

1088 N Northcounty Blvd
Pleasant Grove, UT 84062-3466

Mailing address

55 N Merchant St Unit 1540
American Fork, UT 84003-7061
Phone (515) 240-5836

Other practice location 1

5890 Morning Star Ct.
Pleasant Hill, IA 50327-2230
Phone (515) 266-2154

Other practice location 2

8400 Osuna Rd NE Ste 2C
Albuquerque, NM 87111-2069
Phone (505) 293-2332

Other practice location 3

1593 N Redwood Rd Ste 1
Saratoga Springs, UT 84045-3919
Phone (801) 901-8467

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

LicenseStateTypeSpecialty
08361IAMDOrthodontics and Dentofacial Orthopedic Dentist
6920699-9921UTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandia Orthodontics, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Aug 23, 2020 Accepting new patients
Cio,LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

8400 Osuna Rd NE
Ste 2C
Albuquerque, NM 87111
Phone (505) 293-2332

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1932388683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N MERCHANT ST UNIT 1540",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840037061",
            "telephone_number": "515-240-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 N NORTHCOUNTY BLVD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623466",
            "telephone_number": "801-477-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5890 Morning Star Ct.",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "IA",
            "postal_code": "503272230",
            "country_code": "US",
            "telephone_number": "515-266-2154",
            "fax_number": "512-266-8065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8400 Osuna Rd NE Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112069",
            "country_code": "US",
            "telephone_number": "505-293-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1593 N Redwood Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "UT",
            "postal_code": "840453919",
            "country_code": "US",
            "telephone_number": "801-901-8467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARRAS",
        "first_name": "JEREMY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "08361",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "6920699-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.