Active NPI
William Preston MD, Inc
Doing business as Cherry Tree Family Practice
- Family Medicine Physician
- Orem, UT
National Provider Identifier
1396709903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 163269-1205
- Legal business name
- WILLIAM PRESTON MD, INC
- Doing business as
- Cherry Tree Family Practice
- Practice address
- 155 N 400 W
Suite B6
Orem, UT 84057-1909 - Phone
- (801) 224-1300
- Fax
- (801) 225-3236
- NPI assigned
- Apr 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William D. Preston II, M.D.
- Title
- President
- Phone
- (801) 224-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 163269-1205 | UT | Primary |
Addresses
Primary practice location
155 N 400 W
Suite B6
Orem, UT 84057-1909
Mailing address
155 N 400 W
Suite B6
Orem, UT 84057-1909
Phone (801) 224-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528276421000 | Medicaid | UT |
Other names 1
- Cherry Tree Family Practice
National Provider Directory
National Provider DirectoryLocations
155 N 400 W
Ste B6
Orem, UT 84057
Phone (801) 224-1300
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Draper, UT
- NPI 1124461926
-
- Physician Assistant
- Orem, UT
- NPI 1538469663
-
- Sports Medicine (Family Medicine) Physician
- Salem, UT
- NPI 1316993520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396709903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N 400 W",
"address_2": "SUITE B6",
"city": "OREM",
"state": "UT",
"postal_code": "840571909",
"telephone_number": "801-224-1300",
"fax_number": "801-225-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N 400 W",
"address_2": "SUITE B6",
"city": "OREM",
"state": "UT",
"postal_code": "840571909",
"telephone_number": "801-224-1300",
"fax_number": "801-225-3236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM PRESTON MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRESTON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-224-1300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "UT",
"license": "163269-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528276421000",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cherry Tree Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
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 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.