Organization Active NPI

Peak Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • American Fork, UT
National Provider Identifier
1467803205
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9637455-9921 Issued in UT
Legal business name
PEAK ORTHODONTICS PLLC
Practice address
496 N 990 W Ste G
American Fork, UT 84003-2782
Phone
(801) 477-7325
Fax
(801) 492-7900
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Tharon Smith, D.D.SNPI 1811239593
Title
Managing Orthodontist
Phone
(520) 204-6707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9637455-9921 UT Primary

Addresses

Primary practice location

496 N 990 W Ste G
American Fork, UT 84003-2782

Mailing address

496 N 990 W Ste G
American Fork, UT 84003-2782
Phone (801) 477-7325

National Provider Directory

National Provider Directory

Locations

496 N 990 W
Ste G
American Fork, UT 84003
Phone (801) 477-7325

Practitioners & affiliated clinicians

Practitioners 1

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": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1467803205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 N 990 W STE G",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032782",
            "telephone_number": "801-477-7325",
            "fax_number": "801-492-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 N 990 W STE G",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032782",
            "telephone_number": "801-477-7325",
            "fax_number": "801-492-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THARON",
        "authorized_official_title_or_position": "MANAGING ORTHODONTIST",
        "authorized_official_telephone_number": "520-204-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "9637455-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.