South Jordan Pdc PLLC
NPI 1336706043ActiveOrganization· Dentist· South Jordan, UT
Dentist in South Jordan, Utah, registered in NPPES in May 2019. The authorized official on file is Juan Carlos Chavez, DMD, Owner.
Overview
| NPI | 1336706043 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2019 |
| Last updated in NPPES | May 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Dentist, Periodontics | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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