Active NPI
Kip J. Jones, DDS
- General Practice Dentistry
- Layton, UT
National Provider Identifier
1992845374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61557989923
- Practice address
- 1151 Rosewood LN
Layton, UT 84041-4413 - Phone
- (801) 546-3513
- Fax
- (801) 546-4118
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61557989923 | UT | Primary |
Addresses
Primary practice location
1151 Rosewood LN
Layton, UT 84041-4413
Mailing address
1151 Rosewood LN
Layton, UT 84041-4413
Phone (801) 546-3513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61557989923 | Other | UT | STATE LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813011725 | UT | Order and Referring Only - Dentist | 1153636550 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61557989923 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992845374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 ROSEWOOD LN",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414413",
"telephone_number": "801-546-3513",
"fax_number": "801-546-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 ROSEWOOD LN",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414413",
"telephone_number": "801-546-3513",
"fax_number": "801-546-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KIP",
"middle_name": "J.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "61557989923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "61557989923",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.