Vine Street Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VINE STREET PEDIATRIC DENTISTRY

Practice address

678 E Vine St
Suite #12
Murray, UT 84107-5546

Phone

(801) 268-1135

NPI assigned

Dec 19, 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": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1184045049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 E VINE ST",
            "address_2": "SUITE #12",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075546",
            "telephone_number": "801-268-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 E VINE ST",
            "address_2": "SUITE #12",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075546",
            "telephone_number": "801-268-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE STREET PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "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": []
}

• Heidi Christine Vikari
• Alejandra Villagomez
• Yaritza Villagomez
• Elsa Villegas
• Kempton Vincent
• Vine Street Pediatric Dentistry
• Caroline G Vines, M.D.
• Vision Health Center, Inc.
• Visionworks Inc
• Patricia A Vitale, MD

• Dental Clinic/Center in Murray, UT
• Providers in Murray, 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 19, 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.