Granger Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7026989 Issued in UT

Legal business name

GRANGER ORTHODONTICS

Practice address

3725 W 4100 S
Salt Lake City, UT 84120-5530

Phone

(801) 966-6681

Fax

(801) 966-6600

NPI assigned

Aug 15, 2011

Last updated

Aug 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Taylor, DMF

Title

Owner

Phone

(801) 966-6681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1245519750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841205530",
            "telephone_number": "801-966-6681",
            "fax_number": "801-966-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841205530",
            "telephone_number": "801-966-6681",
            "fax_number": "801-966-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-966-6681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMF"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "7026989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granger Medical Clinic PC
• Granger Medical Clinic, Inc. (Granger Medical Millcreek)
• Granger Medical Clinic, Inc. (Granger Medical Clinic - Wasatch)
• Granger Medical Clinic, PC (Granger Medical Clinic - Millcreek Allergy)
• Granger Medical Specialists, LLC
• Donald Lee Granger, MD
• Jackie L Granger
• Granite Counseling Inc.
• Granite School District
• Granite School District Ed

• Orthodontics and Dentofacial Orthopedics Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, 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 15, 2011; 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.