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Deactivated NPI 1508198359 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Karl Rasmussen , DDS

Dentist - General Practice • West Jordan, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Rasmussen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 04, 2010
NPI Deactivation Date August 24, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Rasmussen, DDS was a registered Dentist - General Practice practicing in West Jordan, UT. Throughout an active medical career spanning 11 years, Dr. Rasmussen provided care at the practice location at 6783 S REDWOOD RD until profile deactivation on 2021-08-24.

Practice Location & Contact Primary Location

Practice Address

6783 S Redwood Rd
Suite 201

West Jordan, UT 840845677

Telephone 8019698200
Fax 8012618280
Associated Practice Facility / Clinic
🏢 Centerville Medical Center Facility NPI 1205187325

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Jordan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
54 Specialists

Practicing in West Jordan, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 130519

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Steven Foltz , DDS

Dentist - General Practice

NPI 1174044911

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 24, 2021

Record deactivated on August 24, 2021

NPI Profile Active February 04, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2010

Registered at 6783 S REDWOOD RD, SUITE 201, WEST JORDAN, UT 840845677 (Tel: 8019698200)

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Updated Business Mailing Address February 04, 2010

Registered at 6783 S REDWOOD RD, SUITE 201, WEST JORDAN, UT 840845677 (Tel: 8019698200)

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Provider Name / Credentials Updated February 04, 2010

Recorded as JACK RASMUSSEN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2010

Dentist (License #130519 in UT)

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Initial NPI Registration & Enumeration February 04, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508198359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2010
Last Update: February 04, 2010
Deactivation Date: August 24, 2021

Mailing Address

6783 S Redwood Rd, Suite 201

West Jordan, UT 840845677

Phone: 8019698200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.