Organization Active NPI

Lehi Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lehi, UT
National Provider Identifier
1194213074
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10226558-9924 Issued in UT
Legal business name
LEHI ORAL SURGERY PC
Doing business as
Lehi Oral & Facial Surgery
Practice address
2961 W Maple Loop Dr Ste 130
Lehi, UT 84043-5717
Phone
(580) 695-6280
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Stephanie Grigg, BSN, RN
Title
Regional Leader
Phone
(580) 695-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 10226558-9924 UT Primary

Addresses

Primary practice location

2961 W Maple Loop Dr Ste 130
Lehi, UT 84043-5717

Mailing address

2961 W Maple Loop Dr Ste 130
Lehi, UT 84043-5717

Other names 1

  • Lehi Oral & Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

2961 W Maple Loop Dr
Ste 130
Lehi, UT 84048
Phone (580) 695-6280

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1194213074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 W MAPLE LOOP DR STE 130",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 W MAPLE LOOP DR STE 130",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435717",
            "telephone_number": "580-695-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHI ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "GRIGG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "REGIONAL LEADER",
        "authorized_official_telephone_number": "580-695-6280",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "10226558-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehi Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.