NPIMap

Organization Active NPI

Burg Orthodontics

  • Dental Clinic/Center
  • North Salt Lake, UT
National Provider Identifier
1104233162
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BURG ORTHODONTICS
Practice address
3377 Orchard Drive
North Salt Lake, UT 84010-8005
Phone
(801) 951-8038
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

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

Addresses

Primary practice location

3377 Orchard Drive
North Salt Lake, UT 84010-8005

Mailing address

3377 Orchard Dr
Bountiful, UT 84010-8005
Phone (801) 951-8038

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1104233162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 ORCHARD DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108005",
            "telephone_number": "801-951-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 ORCHARD DRIVE",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840108005",
            "telephone_number": "801-951-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURG ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "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": []
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.