CREEK CAPITAL ORTHODONTICS LLC (NPI# 1215455159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215455159 |
| Entity Type | Organization |
| Organization Name | CREEK CAPITAL ORTHODONTICS LLC |
| Other Organization Name | BURG ORTHODONTICS |
| Practice Address |
158 E Winchester St Murray UT 84107-7211 |
| Mailing Address |
678 E Vine St Ste 10 Murray UT 84107-5500 |
| Practice Telephone | 8017477895 |
| Mailing Telephone | 8019184135 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | MARCI NICOL (COO) |
| Authorized Official Telephone | 8013127122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Burg Orthodontics | Doing Business As Name - Organization |
| Street Address |
158 E WINCHESTER ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518106624 | Todd Lyal Christensen | Dentist | 158 E Winchester St, Murray, UT 84107-7211 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194294488 | Kent Joseph Baugh | Dentist | 164 E 5900 S Ste A109, Murray, UT 84107-7248 | 2018-11-16 |
| 1518106624 | Todd Lyal Christensen | Dentist | 158 E Winchester St, Murray, UT 84107-7211 | 2009-02-12 |
| 1629298385 | Fredrick Allen Ghiz | Dentist | 6095 Fashion Blvd Ste 210, Murray, UT 84107-7394 | 2007-04-26 |
| 1053535443 | Justin O Parker | Dentist | 586 West 5300 S, Suite 1, Murray, UT 84123 | 2007-04-13 |
| 1881691798 | Allen H. Moffitt | Dentist | 1302 Johnson Blvd, Murray, KY 42071-2926 | 2005-07-07 |
| 1821382342 | Neibaur Family Orthodontics LLC | Dentist | 6095 Fashion Blvd, Ste 210, Murray, UT 84107-7397 | 2011-06-01 |
| 1437317146 | David R. Mcdonough | Dentist | 6070 S 1300 E, Suite 202, Murray, UT 84121-6722 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100295 | Riley Hunsaker | Dentist | 10654 S River Heights Dr, South Jordan, UT 84095-5522 | 2020-10-09 |
| 1174132450 | Jason C Johnson | Dentist | 1231 W 9000 S., Suite #d, West Jordan, UT 84088-5176 | 2020-07-23 |
| 1346884335 | Orthodontics of St. George, P.C. | Dentist | 965 E 700 S Ste 101, St George, UT 84790-4084 | 2019-11-01 |
| 1063063105 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2019-09-20 |
| 1366096208 | Hailee Rask | Dentist | 2255 N University Pkwy Ste 37, Provo, UT 84604-1503 | 2019-07-29 |
| 1477112779 | Alan Clawson Baugh | Dentist | 4019 W 12600 S Ste 210, Riverton, UT 84096-7407 | 2019-06-10 |
| 1821553785 | Raymond Scott Hlavaty | Dentist | 150 E 200 N Ste A, Logan, UT 84321-4036 | 2019-02-05 |
| 1235601659 | Burke and Beckstrom Orthodontics | Dentist | 446 S Mall Dr Ste 100, St George, UT 84790-4944 | 2018-12-24 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1174012876 | Pony Exress Orthodontics, LLC | Dentist | 5396 W Daybreak Pkwy, South Jordan, UT 84009-5900 | 2018-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.