Premier Orthodontic Care

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PREMIER ORTHODONTIC CARE

Practice address

5502 W 13400 S Ste a
Herriman, UT 84096-5636

Phone

(801) 997-5729

NPI assigned

Sep 30, 2021

Organization subpart

Yes

Parent organization

PREMIER ORTHODONTIC CAREAs reported in NPPES

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

Authorized official

Name

Todd Christensen, DMD, MSNPI 1518106624

Title

Associate

Phone

(801) 997-5729

Specialties & licenses 1

Addresses

Other names 1

• Aloha Orthodontics of Herriman Doing business as

Part of

Premier Orthodontic Care

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Lyal Christensen, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Jordan, UT
  • NPI 1518106624
  NPD Authorized official
• Brandon W. Fairbanks, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Herriman, UT
  • NPI 1588852826
  NPD (past)

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1447922158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 W 13400 S STE A",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965636",
            "telephone_number": "801-997-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 W 13400 S STE A",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965636",
            "telephone_number": "801-997-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHODONTIC CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER ORTHODONTIC CARE",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "801-997-5729",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloha Orthodontics of Herriman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Payne, CAT, LAT
• Tyler Rolland Petersen, CSW
• Alyssa Peterson
• Naomi Helene Phillips, DC
• Dana Michelle Pickle, FNP
• Kent Austin Prewett
• Proof Physiotherapy LLC
• Stefanie Prosence
• Samantha Purser
• Edward Rangel, MASSAGE THERAPIST

• Orthodontics and Dentofacial Orthopedics Dentistry in Herriman, UT
• Providers in Herriman, 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 Sep 30, 2021; 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.