Elevate Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ELEVATE ORTHODONTICS LLC

Doing business as

Vineyard Pediatric Dentistry & Orthodontics

Practice address

707 E Mill Rd Ste 101
Vineyard, UT 84059-5732

Phone

(801) 544-1184

Fax

(801) 852-0440

NPI assigned

Oct 10, 2017

Last updated

Oct 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Spencer Goo

Title

Manager

Phone

(801) 382-8820

Specialties & licenses 1

Addresses

Other names 2

• Vineyard Pediatric Dentistry & Orthodontics Doing business as
• Pediatric Dental and Orthodontic Specialists at Vineyard, LC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hilma Karen Rodriguez, D.D.S.

  • Pediatric Dentistry
  • Vineyard, UT
  • NPI 1699115048
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1538679188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E MILL RD STE 101",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840595732",
            "telephone_number": "801-382-8820",
            "fax_number": "385-283-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MILL RD STE 101",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840595732",
            "telephone_number": "801-544-1184",
            "fax_number": "801-852-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 N Church St",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840406614",
            "country_code": "US",
            "telephone_number": "801-544-1184",
            "fax_number": "801-852-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "GOO",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-382-8820"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dental and Orthodontic Specialists at Vineyard, LC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devyn Arlie Darrohn, CNA
• Heeju Davis, RN
• Rebecca Davis, MS, RD, CD
• Craig M. Doxey, P.A.
• Jennifer Lyn Duckett, FNP
• Trisha D Evans, APRN
• Eric David Freeman, M.D.
• Heather Gladney
• Victor Roman Gurrola
• Brittney Hansen

• Orthodontics and Dentofacial Orthopedics Dentistry in Vineyard, UT
• Providers in Vineyard, 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 Oct 22, 2019; 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.