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RICHARD KIRKHAM JOLLEY
NPI 1902200223
Dentist in Vernal, UT

Active since October 15, 2014Opted out of Medicare · through Mar 16, 2028
40 W 100 N, VERNAL, UT 84078(435) 789-2888(435) 789-7281 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Kirkham Jolley NPPES

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

RICHARD KIRKHAM JOLLEY (NPI 1902200223) is an individual dentist in Vernal, Utah, licensed in Utah (137338) and active in the NPI registry since October 2014. He has opted out of Medicare through March 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902200223
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRICHARD KIRKHAM JOLLEY
Location Address40 W 100 NVernal, UT 84078-2002
Mailing Address40 W 100 NVernal, UT 84078-2002 · (435) 789-2888 · Fax (435) 789-7281
Phone(435) 789-2888
Fax(435) 789-7281
Sole ProprietorNo
Enumeration DateOctober 15, 2014
Last NPPES UpdateMarch 4, 2015
✔ NPI 1902200223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 137338
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.
40 W 100 N, Vernal, UT 84078
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Richard Kirkham Jolley has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2016 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2016
Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84078 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

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

RK JOLLEY DDS, PC
Clinic/Center (Dental)
40 W 100 N
VERNAL, UT 84078
Uintah County (435) 789-2888

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 Richard Jolley's NPI number?

The NPI number for Richard Jolley is 1902200223. It was assigned to this individual provider in the NPPES registry on October 15, 2014.

Where is Richard Jolley located?

Richard Jolley practices at 40 W 100 N, Vernal, UT 84078. The listed phone number is (435) 789-2888.

What is Richard Jolley's specialty?

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

Is Richard Jolley enrolled in Medicare?

No. Richard Jolley has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Richard Jolley was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.