Active NPI
Brooke Vantoorenburg, DMD
- Dentist
- Stansbury Park, UT
National Provider Identifier
1437047644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14223912
- Practice address
- 263 Country Club Dr Ste 103
Stansbury Park, UT 84074-9602 - Phone
- (435) 210-5110
- NPI assigned
- Jun 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14223912 | UT | Primary |
Addresses
Primary practice location
263 Country Club Dr Ste 103
Stansbury Park, UT 84074-9602
Mailing address
974 E 2100 S Apt 210
Salt Lake City, UT 84106-4529
Phone (813) 466-8699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14223912 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1437047644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 E 2100 S APT 210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841064529",
"telephone_number": "813-466-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 COUNTRY CLUB DR STE 103",
"city": "STANSBURY PARK",
"state": "UT",
"postal_code": "840749602",
"telephone_number": "435-210-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTOORENBURG",
"first_name": "BROOKE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "14223912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stansbury Park, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.