DR. JASON GERARD MANDELARIS (NPI# 1811144785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811144785 |
| Entity Type | Individual |
| Full Name | DR. JASON GERARD MANDELARIS |
| Credential | D.M.D. |
| Practice Address |
275 W 200 N 175 Lindon UT 84042-5009 |
| Practice Telephone | 8017692530 |
| Mailing Telephone | 8017692530 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7579613-9922 | UT | Dental Providers |
| Street Address |
275 W 200 N 175 |
| City | LINDON |
| State | UT |
| Zip Code | 84042-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713419 | Jenessa Hubbard Horton | Nurse Practitioner | 275 W 200 N, Lindon, UT 84042-5009 | 2020-09-02 |
| 1073161311 | Casey Neeley | Registered Nurse | 275 W 200 N, Lindon, UT 84042-5009 | 2019-08-29 |
| 1104317569 | Creek Capitol Lindon | Dentist | 275 W 200 N, Lindon, UT 84042-5009 | 2018-05-22 |
| 1083081533 | Petr Ruda | Nurse Practitioner | 275 W 200 N, Lindon, UT 84042-5009 | 2015-08-31 |
| 1437560711 | Battle Creek Behavioral Health, LLC | Social Worker | 275 W 200 N, Ste 203 Rm 4, Lindon, UT 84042-5009 | 2014-05-08 |
| 1427492305 | Premier Family Medical | Family Medicine | 275 W 200 N, Lindon, UT 84042-5009 | 2013-04-23 |
| 1134563059 | Premier Family Medical | Physical Therapist | 275 W 200 N, Lindon, UT 84042 | 2013-04-22 |
| 1518258524 | The Sleep Institute of Utah | Clinic/Center | 275 W 200 N, Suite 230, Lindon, UT 84042-5009 | 2011-04-25 |
| 1346530128 | Trinette Krebs | Physical Therapist | 275 W 200 N, Suite 150, Lindon, UT 84042-5009 | 2011-04-13 |
| 1255589164 | Stuart Daniel Segura | Dentist | 275 W 200 N, Suite 175, Lindon, UT 84042-5009 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243222 | John Patterson | Marriage & Family Therapist | 199 290 West Ste. 150, Lindon, UT 84042 | 2020-04-09 |
| 1598084675 | Natalia C Mosley | Physical Therapist | 797 E. 640 North, Linden, UT 84042 | 2010-05-27 |
| 1982803797 | Michael David Bartholomew | Physical Therapist | 643 West 7000 North, Suite C, Lindon, UT 84042 | 2007-07-12 |
| 1609082023 | Sean Richard Ulm | Dentist | 389 West 600 North, Lindon, UT 84042 | 2007-05-15 |
| 1003037862 | Sandra Raymond Jensen | Marriage & Family Therapist | 373 North 780 East, Lindon, UT 84042 | 2007-05-01 |
| 1457384059 | Mobile Sound Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 166 N 400 W, Lindon, UT 84042 | 2006-07-08 |
| 1639718463 | Laura Bennion | Counselor | 20 South Main Street, Lindon, UT 84042 | 2019-12-26 |
| 1437627288 | Taylor Drug of Lindon | Pharmacy | 265 North State Street, Lindon, UT 84042 | 2018-11-09 |
| 1649561101 | Kaylee Costello Dunn | Social Worker | 199 N 290 W Ste 150, Lindon, UT 84042 | 2011-05-02 |
| 1205931961 | Medstar Home Medical, LLC. | Durable Medical Equipment & Medical Supplies | 405 N 880 W Ste B, Lindon, UT 84042-1104 | 2006-09-14 |
| Find all providers in zip 84042 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023320728 | Children's Corner Pediatric Dentistry | Dentist | 275 W 200 N Ste 175, Lindon, UT 84042-5009 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
| 1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
| 1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
| 1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
| 1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 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.