DR. BRENDON THUESON TINGEY DMD
NPI 1649848904
Dentist in South Jordan, UT

Active since June 14, 2021PECOS Enrolled
11501 S 4000 W STE 101, SOUTH JORDAN, UT 84009(801) 701-2120 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2022, Jun 14, 2021 (2 updates tracked since 2021).

About Dr. Brendon Thueson Tingey Dmd NPPES

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

DR. BRENDON THUESON TINGEY DMD (NPI 1649848904) is an individual dentist in South Jordan, Utah, licensed in Utah (12797324-9923) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Waverly.

NPPES Registry Identity

NPI1649848904
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRENDON THUESON TINGEYCredential: DMD
Location Address11501 S 4000 W STE 101South Jordan, UT 84009-6028
Mailing Address14407 Murdock Peak DrHerriman, UT 84096-1855 · (801) 792-2510
Sole ProprietorNo
Enumeration DateJune 14, 2021
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1649848904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in UT · 12797324-9923
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DDS-09893 (IA)
11501 S 4000 W STE 101, South Jordan, UT 84009

Other Names 1

Professional Name (2)Dr. Brendon Thueson Tingey Dmd

Secondary Practice Location 1

Location 11400 10th Ave SWWaverly, IA 50677-3752 · Phone (319) 352-5222

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brendon Thueson Tingey Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Dentist (General Practice)
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Dentist (General Practice)
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Dentist
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Dentist
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009

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 Brendon Tingey's NPI number?

The NPI number for Brendon Tingey is 1649848904. It was assigned to this individual provider in the NPPES registry on June 14, 2021. The provider is also known as Dr. Brendon Thueson Tingey Dmd.

Where is Brendon Tingey located?

Brendon Tingey practices at 11501 S 4000 W Ste 101, South Jordan, UT 84009. The listed phone number is (801) 701-2120.

What is Brendon Tingey's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brendon Tingey enrolled in Medicare?

Yes. Brendon Tingey is registered in the Medicare PECOS enrollment system.

What insurance does Brendon Tingey accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Brendon Tingey 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 Brendon Tingey was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.