Creek Capitol Orthodontics- Hunter Park

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CREEK CAPITOL ORTHODONTICS- HUNTER PARK

Doing business as

Burg Orthodontics Hunter Park

Practice address

2792 S 5600 W
West Valley, UT 84120-5590

Phone

(801) 969-9669

NPI assigned

May 22, 2018

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

Coo

Phone

(801) 918-4135

Specialties & licenses 1

Addresses

Other names 1

• Burg Orthodontics Hunter Park Doing business as

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1093206450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 E VINE ST STE 10",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075500",
            "telephone_number": "801-918-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 S 5600 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841205590",
            "telephone_number": "801-969-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK CAPITOL ORTHODONTICS- HUNTER PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-918-4135"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burg Orthodontics Hunter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Daniel Colon Moya, PHARMD
• Confederated Tribes of the Goshute Reservation
• Costco Wholesale Corporation
• Julieanne Rigby Cox, FNP-C
• Creek Capitol Hunter Park
• Marisa Maile Crist
• Rynthia Crosbie, NP
• Crossroads Agency LLC
• Michelle K. Curtis
• Custom Hearing LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in West Valley, UT
• Providers in West Valley, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.