Canyon Creek Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CANYON CREEK ORTHODONTICS, LLC

Practice address

378 E 400 S
Suite #3
Springville, UT 84663

Phone

(801) 704-9786

Fax

(801) 704-9458

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By 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

Kyle Ryan Marshall, DDSNPI 1346287935

Title

Owner

Phone

(801) 704-9786

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, and the practitioner matching its NPPES authorized official.

• Kyle R Marshall, DDS

  • General Practice Dentistry
  • Springville, UT
  • NPI 1346287935
  Authorized official Same address or phone

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1346711199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 E 400 S SUITE 3",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "801-704-9786",
            "fax_number": "801-704-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 E 400 S",
            "address_2": "SUITE #3",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "801-704-9786",
            "fax_number": "801-704-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CREEK ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-704-9786",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynne Butterfield, LPN
• Kelly Call
• Matthew Ryan Call, D.O.
• Steven Elliott Call, M.D.
• Canyon Creek Health and Wellness
• Canyon Utah LLC (Canyon Hospice of Utah County)
• Canyon View Medical Group LLC
• Canyon View Medical Group LLC
• James Albert Carey, PH.D.
• Candice Marie Carroll

• Orthodontics and Dentofacial Orthopedics Dentistry in Springville, UT
• Providers in Springville, 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 Dec 5, 2018; 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.