NPIMap

Organization Active NPI

SF Creekside Dental

  • General Practice Dentistry
  • Spanish Fork, UT
National Provider Identifier
1992359541
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SF CREEKSIDE DENTAL
Practice address
743 E 700 N
Spanish Fork, UT 84660-1699
Phone
(385) 448-1500
NPI assigned
Jul 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
David Erekson, DDS
Title
Owner/Doctor
Phone
(385) 448-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

743 E 700 N
Spanish Fork, UT 84660-1699

Mailing address

743 E 700 N
Spanish Fork, UT 84660-1699
Phone (385) 448-1500

Other names 1

  • Creekside Dental Doing business as

National Provider Directory

National Provider Directory

Locations

743 E 700 N
Spanish Fork, UT 84660
Phone (385) 448-1500

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1992359541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E 700 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601699",
            "telephone_number": "385-448-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 E 700 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601699",
            "telephone_number": "385-448-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SF CREEKSIDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "EREKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "385-448-1500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.