Oquirrh Park Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OQUIRRH PARK PEDIATRIC DENTISTRY

Practice address

6973 S 4800 W
West Jordan, UT 84084-7927

Phone

(801) 840-4833

NPI assigned

Dec 18, 2013

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

VP of Operations

Phone

(801) 918-4135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1134540032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6973 S 4800 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840847927",
            "telephone_number": "801-840-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6973 S 4800 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840847927",
            "telephone_number": "801-840-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OQUIRRH PARK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "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": []
}

• Garik Ombach
• Sandra Omotilewa
• Maria A Oneida, M.D.
• Joanna McLane Onorato
• Onsite Care, Inc.
• Steven Ralph Ord
• Alejandra Orozco
• Orthodontic Payment Services, LLC
• Haley Orton
• Bret Marshall Osborne, DMD

• Dental Clinic/Center in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.