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Jordan Landing Pediatrics

Periodontics in West Jordan, UT · enumerated 2010 · authorized official R Johansen, Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528374337

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Registry record

Entity type Organization (Type 2)
Legal business name Jordan Landing Pediatrics
Practice address 7613 Jordan Landing Blvd, Ste 210, West Jordan, UT, 84084
Phone (801) 280-9595
Fax (801) 280-1169
Enumeration date Aug 31, 2010
Last updated in NPPES Aug 31, 2010

Taxonomy & classification

1223P0300X Periodontics Dental Providers Primary

Authorized official

Name R Johansen
Title Doctor
Phone (801) 280-9595

Other identifiers

Identifier Type State Issuer
002204002 Medicaid NV -
528451522009 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jordan Landing Pediatrics?
Jordan Landing Pediatrics is registered in NPPES as a Periodontics (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-31.