Fanelli Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FANELLI ORTHODONTICS PLLC

Practice address

5677 S 1475 E Ste 2a
South Ogden, UT 84403-7003

Phone

(801) 479-9800

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Michael Fanelli, DDS, MSNPI 1902538853

Title

Owner

Phone

(717) 725-2453

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christopher Michael Fanelli, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Ogden, UT
  • NPI 1902538853
  NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1295508463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5677 S 1475 E STE 2A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844037003",
            "telephone_number": "717-725-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 S 1475 E STE 2A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844037003",
            "telephone_number": "801-479-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 N 2000 W Ste 205",
            "address_purpose": "LOCATION",
            "city": "Farr West",
            "state": "UT",
            "postal_code": "844049230",
            "country_code": "US",
            "telephone_number": "801-479-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 N State St Ste A",
            "address_purpose": "LOCATION",
            "city": "Morgan",
            "state": "UT",
            "postal_code": "840509903",
            "country_code": "US",
            "telephone_number": "801-479-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FANELLI ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "FANELLI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-725-2453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Ellison, APRN
• Joshua Elzey, DPT
• Eos Serenity Lodge
• Taylor Paul Ericksen, D.M.D.
• Madeline Evans
• Christopher Michael Fanelli, DDS, MS
• Jacqueline Ferguson, RBT
• Randy Ferrin, RN
• Firefly Holistics PLLC
• Roxina Fischer, FNP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in South Ogden, UT
• Providers in South Ogden, 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 Oct 31, 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.