Creek Capital Daybreak LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CREEK CAPITAL DAYBREAK LLC

Doing business as

Burg Children's Dentistry & Orthodontics
Burg Children's Dentistry & Orthodontics- Daybreak

Practice address

4775 W Daybreak Pkwy Ste 103
South Jordan, UT 84009-5139

Phone

(801) 999-4640

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Marci Nicol

Title

Coo

Phone

(801) 918-4135

Specialties & licenses 1

Addresses

Other names 2

• Burg Children's Dentistry & Orthodontics Doing business as
• Burg Children's Dentistry & Orthodontics- Daybreak Doing business as

Locations

Practitioners 1

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

• Michael R Cottam, MS, DMD

  • Pediatric Dentistry
  • Columbia, MO
  • NPI 1972816288
  NPD (past)

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1750853438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 E VINE ST STE 10",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075500",
            "telephone_number": "801-918-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 W DAYBREAK PKWY STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095139",
            "telephone_number": "801-999-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK CAPITAL DAYBREAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-918-4135"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burg Children's Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burg Children's Dentistry & Orthodontics- Daybreak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Grace Seninger Cowley, LCSW
• Cynthia Cox, ATC, CSCS
• Matthew Nelson Cox, M.D.
• Taunya Cox, CMHC
• Create Health LLC
• Crescent Health Clinic
• Austin Taylor Crocker, PA-C
• Nicole Crockett, RPH
• Megan Ellice Crookston
• Reiken Crosby

• Dental Clinic/Center in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.