KENNETH S.J. HICKS (NPI# 1689858581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689858581 |
| Entity Type | Individual |
| Full Name | KENNETH S.J. HICKS |
| Credential | D.M.D |
| Practice Address |
7555 Center View Ct Suite 104 West Jordan UT 84084-1970 |
| Mailing Address |
7555 S Center View Ct Suite 104 West Jordan UT 84084 |
| Practice Telephone | 8015668540 |
| Practice Fax Number | 8012557780 |
| Mailing Telephone | 8015668540 |
| Mailing Fax Number | 8012557780 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
264451-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881719532 | Kenneth Hicks | Social Worker | 308 East 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1245298439 | Kenneth Todd Hicks | Chiropractor | 1999 S Main St, Suite 305-a, Blacksburg, VA 24060-6634 | 2006-05-04 |
| 1871573196 | Kenneth Hicks | Internal Medicine | 1100 Kermit Dr, Ste 106, Nashville, TN 37217-2121 | 2006-01-20 |
| 1235111287 | Kenneth Lee Hicks Jr. | Chiropractor | 610 Old Tar Village Rd Ste E, Winterville, NC 28590-7936 | 2005-11-16 |
| 1659698322 | Kenneth Van Hicks | Counselor | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2010-04-21 |
| Street Address |
7555 CENTER VIEW CT SUITE 104 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942238670 | James D. Sargent | Optometrist | 7555 Center View Ct, Ste 101, West Jordan, UT 84084-1970 | 2006-06-29 |
| 1932360690 | William Craig Poulter | Optometrist | 7555 Center View Ct, Suite 101, West Jordan, UT 84084-1970 | 2008-06-24 |
| 1669640264 | Bret Marshall Osborne | Dentist | 7555 Center View Ct, Suite 104, West Jordan, UT 84084-1970 | 2008-02-15 |
| 1225230535 | Glen Craig Bills | Dentist | 7555 Center View Ct, Suite 204, West Jordan, UT 84084-1970 | 2007-05-31 |
| 1679786206 | Sean D Fessenden | Dentist | 7555 Center View Ct, 202, West Jordan, UT 84084-1970 | 2007-05-08 |
| 1558487975 | Vision Health Center, Inc. | Optometrist | 7555 Center View Ct, Suite 101, West Jordan, UT 84084-1970 | 2007-03-21 |
| 1083739858 | David S. Roberts Dds PC | Dentist | 7555 Center View Ct, Suite 201, West Jordan, UT 84084-1970 | 2007-03-20 |
| 1871618421 | David S. Roberts | Dentist | 7555 Center View Ct, Suite 201, West Jordan, UT 84084-1970 | 2007-03-20 |
| 1598894685 | Alan John Adams | Chiropractor | 7555 Center View Ct, #102, West Jordan, UT 84084-1970 | 2007-03-05 |
| 1497894000 | Dean T Bawden | Dentist | 7555 Center View Ct, Suite 204, West Jordan, UT 84084-1970 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| Find all providers in zip 84084 | ||||
| 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 |
|---|---|---|---|---|
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1235778960 | Abundant Dental Care, P.C. | Dentist | 5688 W 7800 S Ste 104, West Jordan, UT 84081-5404 | 2019-12-28 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1942757570 | Young Family Dental Wj | Dentist | 4800 W. 8159 S., West Jordan, UT 84088-8213 | 2016-09-01 |
| 1104371160 | Tyler J Canales | Dentist | 7632 S Campus View Dr, Ste 150, West Jordan, UT 84084-5542 | 2016-08-19 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1588043780 | Pdc West Jordan LLC | Dentist | 7478 S Campus View Dr Ste 200, West Jordan, UT 84084-1969 | 2015-05-21 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1235539073 | Frandsen Family Dental Group | Dentist | 3078 W 7800 S Ste 7b, West Jordan, UT 84088-3704 | 2014-08-29 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
Please comment or provide details below to improve the information on KENNETH S.J. HICKS.
| 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.