Organization Active NPI

Nexus Dental Group PLLC

Doing business as Parleys Creek Dental

  • Dental Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1013416742
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
80174279922 Issued in UT
Legal business name
NEXUS DENTAL GROUP PLLC
Doing business as
Parleys Creek Dental
Practice address
2725 E Parleys Way
Salt Lake City, UT 84109-1667
Phone
(801) 808-2061
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Clinton Sorensen, DDSNPI 1760767230
Title
Dentist/Owner
Phone
(801) 808-2061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 80174279922 UT Primary

Addresses

Primary practice location

2725 E Parleys Way
Salt Lake City, UT 84109-1667

Mailing address

2725 E Parleys Way Ste 150
Salt Lake City, UT 84109-1659
Phone (801) 808-2061

Other names 1

  • Parleys Creek Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1013416742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 E PARLEYS WAY STE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091659",
            "telephone_number": "801-808-2061",
            "fax_number": "801-808-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E PARLEYS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091667",
            "telephone_number": "801-808-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "801-808-2061",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "80174279922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parleys Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.