SGWJ DENTAL PLLC
NPI 1457243784
Clinic/Center - Dental in West Jordan, UT
About Sgwj Dental Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SGWJ DENTAL PLLC (NPI 1457243784), doing business as Jordan Ridge Dental, is a healthcare organization registered as a dental in West Jordan, Utah and active in the NPI registry since July 2025. The organization lists James Spencer Gruber, Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sgwj Dental Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sgwj Dental PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sgwj Dental PLLC's NPI number?
The NPI number for Sgwj Dental PLLC is 1457243784. It was assigned to this organization in the NPPES registry on July 21, 2025. The provider is doing business as Jordan Ridge Dental.
Where is Sgwj Dental PLLC located?
Sgwj Dental PLLC is located at 6973 S Cougar Ln Ste D, West Jordan, UT 84084. The listed phone number is (801) 982-0332.
What is Sgwj Dental PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Sgwj Dental PLLC enrolled in Medicare?
Yes. Sgwj Dental PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sgwj Dental PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dentist, reassign their Medicare billing to Sgwj Dental PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sgwj Dental PLLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sgwj Dental Pllc · NPI 1457243784
Dental organization in West Jordan, Utah. Organization record, active in the CMS NPPES registry since July 21, 2025.
## Identity
- **NPI:** 1457243784 (Entity type: Organization)
- **Enumerated:** July 21, 2025
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Jordan Ridge Dental (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** James Gruber, DENTIST
## Practice location
- **Address:** 6973 S COUGAR LN STE D, West Jordan, UT 84084-7927
- **Phone:** (801) 982-0332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dentist) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457243784) · Data from the CMS NPPES public registry.