Creek Capital Oquirrh Park LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CREEK CAPITAL OQUIRRH PARK LLC

Practice address

6973 S 4800 W Ste C
West Jordan, UT 84084-7927

Phone

(801) 840-4833

NPI assigned

Aug 30, 2017

Organization subpart

No

Name

Marci Nicol

Title

Coo

Phone

(801) 312-7122

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2017.

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1952829897",
    "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": "6973 S 4800 W STE C",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840847927",
            "telephone_number": "801-840-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK CAPITAL OQUIRRH PARK 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-Oquirrh Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reyman Thomas Cozad, DDS
• Cozy Cabin Dental, LLC
• Chloe Cozzens
• Charles Rhett Cragun, LCSW
• Creek Capital Jordan Ridge LLC
• Joseph Criswell
• Pamela Jeanne Cronin, MS, CCC-A
• Trudy A Cropper, ACMHC
• Erin Crouch
• Chelsea McKell Crowford

• All providers in West Jordan, UT
• 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.