Organization Active NPI

Craig L. Coombs D.D.S., PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Layton, UT
National Provider Identifier
1265652077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
138105 Issued in UT
Legal business name
CRAIG L. COOMBS D.D.S., PC
Practice address
2185 Robins Dr
Suite 203
Layton, UT 84041-1154
Phone
(801) 773-5836
Fax
(801) 773-5730
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig L. Coombs
Title
Owner
Phone
(801) 773-5836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 138105 UT Primary

Addresses

Primary practice location

2185 Robins Dr
Suite 203
Layton, UT 84041-1154

Mailing address

2185 Robins Dr
Suite 203
Layton, UT 84041-1154
Phone (801) 773-5836

Other identifiers 1

IdentifierTypeStateIssuer
529664312016MedicaidUT

Other names 1

  • Coombs Orthodontics Other name

National Provider Directory

National Provider Directory

Locations

2185 N Robins Dr
Ste 203
Layton, UT 84041
Phone (801) 773-5836

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265652077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 ROBINS DR",
            "address_2": "SUITE 203",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411154",
            "telephone_number": "801-773-5836",
            "fax_number": "801-773-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 ROBINS DR",
            "address_2": "SUITE 203",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411154",
            "telephone_number": "801-773-5836",
            "fax_number": "801-773-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG L. COOMBS D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-773-5836",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "138105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529664312016",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coombs Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.