DR. JACK L BRAUER (NPI# 1407187362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407187362 |
| Entity Type | Individual |
| Full Name | DR. JACK L BRAUER |
| Credential | DDS |
| Practice Address |
450 Bern Way Midway UT 84049 |
| Practice Telephone | 6198407080 |
| Mailing Telephone | 6198407080 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2013-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
47988549921 | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1407187362 | 05 |
| Street Address |
450 BERN WAY |
| City | MIDWAY |
| State | UT |
| Zip Code | 84049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751965 | Kordine D Steinke | Community Health Worker | 1458 Oak Ln, Midway, UT 84049 | 2020-08-17 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 1386017945 | Sabina Jolanta Boies | Physical Therapy Assistant | 1420 W Geneva Dr, Midway, UT 84049 | 2015-11-04 |
| 1386953578 | Henry A. Malus | Naturopath | 210 E. Main St., # 101, Midway, UT 84049 | 2010-10-05 |
| 1912152299 | Alpine Treatment Services, LLC | Substance Abuse Rehabilitation Facility | 375 Rainbow Lane, Midway, UT 84049 | 2008-11-30 |
| 1235152323 | Gary A Hafer | Specialist | 529 West 200 North, Midway, UT 84049 | 2006-07-26 |
| 1588274013 | Jack L Cox | Family Medicine | 1588 N Dutch Meadows Ln, Midway, UT 84049-1275 | 2020-08-10 |
| 1174853485 | Gerald L Hayward | Family Medicine | 909 Kohler Ln, Midway, UT 84049-6001 | 2010-01-08 |
| 1427486976 | Ridley's Family Markets, Inc | Pharmacy | 42 W Main St, Midway, UT 84049-6313 | 2013-10-18 |
| 1689948804 | Monique Hall | Pharmacist | 42 W Main St, Midway, UT 84049-6313 | 2012-03-06 |
| Find all providers in zip 84049 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225523582 | Justin Paul Pennington | Dentist | 28 Butler St, Midway, GA 31320-4294 | 2018-06-28 |
| 1841649449 | Rachel A Riley | Dentist | 128a E Main St, Midway, KY 40347 | 2016-06-06 |
| 1649674409 | Jerome Scott Kearby | Dentist | 12120 Savage Drive, Midway, TX 75852-3654 | 2014-10-22 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1306988571 | Rollin B Jackson IIi | Dentist | 1718 N Coastal Hwy, Midway, GA 31320-3415 | 2007-02-13 |
| 1780043000 | Midway Family Dental | Dentist | 1718 N Coastal Hwy, Midway, GA 31320-3415 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625407 | Austin Keith Woodfield | Dentist | 1305 N Commerce Dr # 22, Saratoga Springs, UT 84045-5305 | 2020-09-29 |
| 1750992111 | Jennifer Lin Sorge | Dentist | 532 N Mallard Dr Unit A, Vineyard, UT 84059-6606 | 2020-08-11 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1679182612 | Liberty Mountain Dental LLC | Dentist | 6351 W 13400 S Ste 100, Herriman, UT 84096-5601 | 2020-07-27 |
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1043838840 | Jordan Sanger | Dentist | 6770 S 900 E Ste 301, Midvale, UT 84047-1761 | 2020-07-08 |
| 1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1376167502 | Ashleigh Dearing | Dentist | 1652 N Blackhawk Dr, Saratoga Springs, UT 84045-5810 | 2020-06-03 |
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.