Heather Anne Crouch, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5607872-9922 Issued in UT

Practice address

1365 W 1000 N
SLC, UT 84116-1654

Phone

(801) 328-5756

Fax

(801) 521-7463

NPI assigned

Jul 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: hcrouch804140@direct.med.utah.edu

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1063419125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 S WEST TEMPLE",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841151874",
            "telephone_number": "801-412-6933",
            "fax_number": "801-412-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 W 1000 N",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841161654",
            "telephone_number": "801-328-5756",
            "fax_number": "801-521-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5607872-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creek Capital East Gate LLC (Burg Children's Dentistry & Orthodontics- East Gate)
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• Matthew Cropper, RN, BSN
• Darcy Lyn Crowford, O.T.R./ L
• Laura Cruz, PHARMACIST
• Allexis R Cuevas
• Hannah Esther Culbertson
• Shellyann Cummings

• Dentist in SLC, UT
• Providers in SLC, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.