Lone Peak Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LONE PEAK PEDIATRIC DENTISTRY

Practice address

1030 E 11400 S
Suite #101
Sandy, UT 84094-6902

Phone

(801) 553-8882

NPI assigned

Dec 18, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marci Nicol

Title

VP of Operations

Phone

(801) 918-4135

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1013338912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E 11400 S",
            "address_2": "SUITE #101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840946902",
            "telephone_number": "801-553-8882",
            "fax_number": "801-553-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E 11400 S",
            "address_2": "SUITE #101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840946902",
            "telephone_number": "801-553-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE PEAK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "801-918-4135"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Elaine Lloyd
• Ross Jacob Lloyd, D.C.
• David Nils Lofgren, MD
• Elisa Lofgren
• Lone Peak Anesthesia LC
• Lone Peak Primary Care LLC
• Peter Lonergan
• Jennifer Elizabeth Longenecker, CCC-SLP
• Jennifer Longmore, CMHC
• Melissa D Lonnecker, PA-C

• Dental Clinic/Center in Sandy, UT
• Providers in Sandy, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.