DR. JACK L BRAUER DDS
NPI 1407187362
Dentist - General Practice in Midway, UT

Active since January 15, 2010
450 BERN WAY, MIDWAY, UT 84049(619) 840-7080 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jack L Brauer Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK L BRAUER DDS (NPI 1407187362) is an individual general practice provider in Midway, Utah, licensed in Utah (47988549921) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1407187362
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK L BRAUERCredential: DDS
Location Address450 BERN WAYMidway, UT 84049
Mailing Address450 Bern WayMidway, UT 84049 · (619) 840-7080
Sole ProprietorYes
Enumeration DateJanuary 15, 2010
Last NPPES UpdateMay 20, 2022
NPPES CertifiedMay 20, 2022
NPI 1407187362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 47988549921
Definition

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.

450 BERN WAY, Midway, UT 84049

Other Identifiers 1

Medicaid1407187362UT

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Brauer's NPI number?

The NPI number for Jack Brauer is 1407187362. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Where is Jack Brauer located?

Jack Brauer practices at 450 Bern Way, Midway, UT 84049. The listed phone number is (619) 840-7080.

What is Jack Brauer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack Brauer accept?

Health plans from BridgeSpan Health Company, Delta Dental PPO, Florida Combined Life, Guardian and Humana and 2 other insurers list Jack Brauer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Brauer was last updated on May 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.