Creek Capital Lone Peak LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CREEK CAPITAL LONE PEAK LLC

Practice address

1030 E 11400 S
Sandy, UT 84094-6902

Phone

(801) 553-8882

NPI assigned

Aug 30, 2017

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) 312-7122

Specialties & licenses 1

Addresses

Other names 1

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

Locations

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1780102616",
    "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": "801-553-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E 11400 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840946902",
            "telephone_number": "801-553-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK CAPITAL LONE PEAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-312-7122"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burg Children's Dentistry & Orthodontics- Lone Peak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Crandall, MFT
• Michelle Crandall, CMHC
• Ashley Craven, O.D.
• Creative Networks, LLC
• Creed S Haymond DDS PC
• Creek Road Dental
• Creek Road Orthodontics and Pediatric Dentistry
• Creek Road Smiles LLC
• Creekside Oral & Facial Surgery Inc
• Holli Crosby, ACMHC

• Pediatric Dentistry in Sandy, UT
• Providers in Sandy, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.