Fairbanks Orthodontics, P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FAIRBANKS ORTHODONTICS, P.C.

Doing business as

Fairbanks Orthodontics

Practice address

3300 North Running Creek Way
Building F # 102
Lehi, UT 84043

Phone

(385) 336-6604

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Fairbanks Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1710658653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NORTH RUNNING CREEK WAY",
            "address_2": "BUILDING F # 102",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "385-336-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NORTH RUNNING CREEK WAY",
            "address_2": "BUILDING F # 102",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "385-336-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "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": "Fairbanks Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanna Han-Tsing Eyre, RBT
• Shelly Eyre, LCSW
• Ezra Healthcare
• Ezra Healthcare
• Fabian House
• Faithful Steps
• Dianne Farley Jones, MD
• Tavia Michele Farmer, DNP, CRNA
• Nathaniel Farnsworth
• Norma Farris

• Orthodontics and Dentofacial Orthopedics Dentistry in Lehi, UT
• Providers in Lehi, 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 21, 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.