CREEK ROAD ORTHODONTICS AND PEDIATRIC DENTISTRY (NPI# 1912274051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912274051 |
| Entity Type | Organization |
| Organization Name | CREEK ROAD ORTHODONTICS AND PEDIATRIC DENTISTRY |
| Practice Address |
7410 Creek Rd Suite #200 Sandy UT 84093-6140 |
| Practice Telephone | 8015625505 |
| Mailing Telephone | 8015625505 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | DR. BARNEY TODD OLSEN (DENTIST/OWNER) |
| Authorized Official Telephone | 8015625505 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
76505 | UT | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
76505 | UT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 528962557001 | 05 |
| Street Address |
7410 CREEK RD SUITE #200 |
| City | SANDY |
| State | UT |
| Zip Code | 84093-6140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811964521 | Jonathan M Rasmussen | Dentist | 7410 Creek Rd, Sandy, UT 84093-6140 | 2006-03-01 |
| 1447299607 | Barney T Olsen | Dentist | 7410 Creek Rd, Ste#200, Sandy, UT 84093-6140 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830674 | Maren Vanwagoner Ferre | Nurse Practitioner | 1455 E Quail Stream Ln, Cottonwood Heights, UT 84093 | 2020-01-22 |
| 1154820041 | Cassandra Bringhurst | Music Therapist | 8261 S Viscounti Dr., Sandy, UT 84093 | 2018-02-06 |
| 1518480540 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8645 S Highland Dr, Sandy, UT 84093 | 2017-07-21 |
| 1457881955 | Valor Psychological Services, LLC | Psychologist | 8160 S Highland Dr Ste C104, Sandy, UT 84093 | 2017-06-16 |
| 1700279197 | Russell G. Lewis | Dentist | 1434 E. 9400 S. Ste 201, Sandy, UT 84093 | 2015-03-10 |
| 1568771350 | Susan Lynn Nikola | Pharmacist | 8745 S. Highland Dr, Sandy, UT 84093 | 2010-09-28 |
| 1659696227 | Pamela Elizabeth Boyleston | Nurse Anesthetist, Certified Registered | 2628 Partridge Way, Sandy, UT 84093 | 2010-04-07 |
| 1700025582 | Kirk Madson Neuberger | Surgery | 9181 Wedgefield Dr., Sandy, UT 84093 | 2009-02-18 |
| 1326230392 | Sunrie Sandy Senior Living LLC | Assisted Living Facility | 2101 E 9400 S, Sandy, TN 84093 | 2007-08-14 |
| 1497870588 | Chandra Lee Roberson | Counselor | 8188 So. Highland Drive, Suite D-4, Sandy, UT 84093 | 2007-03-20 |
| Find all providers in zip 84093 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1639371750 | Eric Martin | Dentist | 3254 Deer Hollow Dr, Sandy, UT 84092-6506 | 2007-06-01 |
| 1780102616 | Creek Capital Lone Peak LLC | Dentist | 1030 E 11400 S, Sandy, UT 84094-6902 | 2017-08-30 |
| 1669517751 | Erik Richard Rooklidge | Dentist | 10011 Centennial Pkwy, Suite 250, Sandy, UT 84070-4156 | 2007-02-20 |
| 1447299607 | Barney T Olsen | Dentist | 7410 Creek Rd, Ste#200, Sandy, UT 84093-6140 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
| 1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
| 1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
| 1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
| 1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 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.