NPIMap

Organization Active NPI

TMJ Therapy, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • American Fork, UT
National Provider Identifier
1033407150
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
142879-9922 Issued in UT
Legal business name
TMJ THERAPY, INC
Practice address
355 E 50 S
American Fork, UT 84003-3837
Phone
(801) 756-0900
Fax
(801) 756-7290
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Carl K McMillan, D.D.S.NPI 1417036583
Title
President
Phone
(801) 756-0900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 142879-9922 UT Primary
Customized Equipment (DME) 332BC3200X 142879-9922 UT

Addresses

Primary practice location

355 E 50 S
American Fork, UT 84003-3837

Mailing address

355 E 50 S
American Fork, UT 84003-3837
Phone (801) 756-0900

National Provider Directory

National Provider Directory

Locations

355 E 50 S
American Fork, UT 84003
Phone (801) 756-0900

Practitioners & affiliated clinicians

Practitioners 2

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": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1033407150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E 50 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033837",
            "telephone_number": "801-756-0900",
            "fax_number": "801-756-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 50 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033837",
            "telephone_number": "801-756-0900",
            "fax_number": "801-756-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-756-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "142879-9922",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "UT",
            "license": "142879-9922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.