Oragen, LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

ORAGEN, LLC

Practice address

193 S 200 W Ste B
Farmington, UT 84025-2406

Phone

(801) 997-9017

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Quade Reynolds

Title

Director

Phone

(801) 997-9017

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1659047017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 DTC PKWY",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112799",
            "telephone_number": "801-997-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 S 200 W STE B",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252406",
            "telephone_number": "801-997-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 White Sage Ave",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "UT",
            "postal_code": "846245555",
            "country_code": "US",
            "telephone_number": "435-554-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORAGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "QUADE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-997-9017"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conner Jack Ogden, DMD
• Neriza Teh Oka, RN
• Stephanie L Olsen, MD
• Onsyte Surgical of Nevada, LLC
• Onsyte Surgical, LLC
• Orn Industries, LLC
• Michelle L Owen-Hutchens
• Tyson Pace, MS, ATC, LAT
• Jaqueline Pack, LCSW
• P. Berrett Packer, DDS

• Oral & Maxillofacial Surgery (D.M.D.) in Farmington, UT
• Providers in Farmington, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.