Individual provider Active NPI

Ward E Creager, DMD

  • Dentist
  • Ogden, UT
National Provider Identifier
1154333995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5656476 Issued in UT
Practice address
1690 N Washington Blvd
Suite 1
Ogden, UT 84404-3457
Phone
(801) 782-4233
Fax
(801) 782-1734
NPI assigned
Aug 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5656476 UT Primary

Addresses

Primary practice location

1690 N Washington Blvd
Suite 1
Ogden, UT 84404-3457

Mailing address

1690 N Washington Blvd
Suite 1
Ogden, UT 84404-3457
Phone (801) 782-4233

Other identifiers 2

IdentifierTypeStateIssuer
56564769902001OtherUTBXBS
78191OtherPEHP-CHIP

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151201003097 UT Order and Referring Only - DentistPractitioner - Dentist 1850691593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154333995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 N WASHINGTON BLVD",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043457",
            "telephone_number": "801-782-4233",
            "fax_number": "801-782-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 N WASHINGTON BLVD",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043457",
            "telephone_number": "801-782-4233",
            "fax_number": "801-782-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAGER",
        "first_name": "WARD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5656476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "56564769902001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP-CHIP",
            "identifier": "78191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.