Creek Capital Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CREEK CAPITAL ORTHODONTICS LLC

Doing business as

Burg Orthodontics

Practice address

158 E Winchester St
Murray, UT 84107-7211

Phone

(801) 747-7895

NPI assigned

Aug 30, 2017

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

Coo

Phone

(801) 312-7122

Specialties & licenses 1

Addresses

Other names 1

• Burg Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Lyal Christensen, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Jordan, UT
  • NPI 1518106624
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1215455159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 E VINE ST STE 10",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075500",
            "telephone_number": "801-918-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E WINCHESTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077211",
            "telephone_number": "801-747-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK CAPITAL ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-312-7122"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burg Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Craddock, MD
• Desiree Hansen Crane, DO
• Kristina Dantzel Crane, FNP
• Creek Capital Burg General LLC
• Creek Capital Dental Holdings, LLC (Burg Children's Dentistry and Orthodontics)
• Creek Capital Vine Street LLC (Burg Children's Dentistry & Orthodontics- Vine Street)
• Ashley Creer
• Candy Miller Crockett, BSN, RN
• Anna Lynn Croft, PA-C
• Aaron Crosby, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Murray, UT
• Providers in Murray, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.