Organization Active NPI

William Preston MD, Inc

Doing business as Cherry Tree Family Practice

  • Family Medicine Physician
  • Orem, UT
National Provider Identifier
1396709903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
163269-1205 Issued in UT
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

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. William D. Preston II, M.D.
Title
President
Phone
(801) 224-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
528276421000MedicaidUT

Other names 1

  • Cherry Tree Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.