NPIMap

Organization Active NPI

Apex Dental Orem, LLC

  • General Practice Dentistry
  • Orem, UT
National Provider Identifier
1386021848
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
144997 Issued in UT
Legal business name
APEX DENTAL OREM, LLC
Practice address
211 E 840 S
Orem, UT 84058-5018
Phone
(801) 566-8833
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Ms. Tracie Sullivan
Title
Director of Finance
Phone
(801) 566-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 144997 UT Primary

Addresses

Primary practice location

211 E 840 S
Orem, UT 84058-5018

Mailing address

PO Box 708130
Sandy, UT 84070-8130
Phone (801) 566-8833

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1386021848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708130",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840708130",
            "telephone_number": "801-566-8833",
            "fax_number": "801-938-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 840 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585018",
            "telephone_number": "801-566-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX DENTAL OREM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "801-566-8833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.