Lifesmiles, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIFESMILES, PLLC

Doing business as

Creek Road Dental Care

Practice address

7369 S Creek Rd
Sandy, UT 84093-6154

Phone

(801) 566-5577

Fax

(801) 566-4848

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Miranda Shirlene Okubo, DDS, FAGDNPI 1346681244

Title

Member

Phone

(801) 916-2779

Specialties & licenses 1

Addresses

Other names 1

• Creek Road Dental Care Doing business as

Practitioners 3

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

• Miranda Okubo, D.D.S

  • Dentist
  • Sandy, UT
  • NPI 1346681244
  NPD Authorized official
• Brian Lee Homer, D.M.D.

  • General Practice Dentistry
  • Sandy, UT
  • NPI 1881696904
  NPD (past)
• Tyler Barney Carlson, D.M.D

  • General Practice Dentistry
  • Rock Springs, WY
  • NPI 1952558652
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1235818378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10638 S CARRINGTON ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944949",
            "telephone_number": "801-916-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 S CREEK RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936154",
            "telephone_number": "801-566-5577",
            "fax_number": "801-566-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "OKUBO",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "SHIRLENE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-916-2779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, FAGD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creek Road Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Librett, PH.D., M.P.H.
• Melinda Sue Liddle, M.D.
• Life Centre Physical Therapy
• Life Changes Counseling
• Life Choice Home Health Care, Inc
• Laura Limb
• T Scott Lindley, MD
• Andrea Lindsay-Shaffer, B.S. SUDC
• Bailey Lindstrom, SLPA
• Holly H Lineback, CPCI

• Dental Clinic/Center in Sandy, UT
• Providers in Sandy, 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 Jul 17, 2023; 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.