Neibaur Family Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4990210-9921 Issued in UT

Legal business name

NEIBAUR FAMILY ORTHODONTICS LLC

Practice address

6095 Fashion Blvd
Ste 210
Murray, UT 84107-7397

Phone

(801) 269-0303

Fax

(801) 269-0447

NPI assigned

Jun 1, 2011

Last updated

Jun 1, 2011By 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

Benjamin A Neibaur, DMD

Title

Owner

Phone

(801) 269-0303

Specialties & licenses 1

Addresses

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.

• Fredrick Allen Ghiz, DDS,MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murray, UT
  • NPI 1629298385
  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1821382342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 FASHION BLVD",
            "address_2": "STE 210",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077397",
            "telephone_number": "801-269-0303",
            "fax_number": "801-269-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 FASHION BLVD",
            "address_2": "STE 210",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077397",
            "telephone_number": "801-269-0303",
            "fax_number": "801-269-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIBAUR FAMILY ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "NEIBAUR",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-269-0303",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "4990210-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Louis Nawalaniec
• Allen Oblad Naylor, MD
• Rachel Nazare
• Caroline Nebhan
• Hallie Clara Neff
• Megan Neiheiser, OTR/L
• Elise Neilsen
• Alex Jonathan Nelson, M.D.
• Catherine Nelson, P.A.
• Chadwinn Nelson

• Orthodontics and Dentofacial Orthopedics Dentistry in Murray, UT
• Providers in Murray, 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 Jun 1, 2011; 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.