ELEVATE ORTHODONTICS LLC (NPI# 1538679188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538679188 |
| Entity Type | Organization |
| Organization Name | ELEVATE ORTHODONTICS LLC |
| Other Organization Name | VINEYARD PEDIATRIC DENTISTRY & ORTHODONTICS |
| Practice Address |
707 E Mill Rd Ste 101 Vineyard UT 84059-5732 |
| Practice Telephone | 8015441184 |
| Practice Fax Number | 8018520440 |
| Mailing Telephone | 8013828820 |
| Mailing Fax Number | 3852830660 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | SPENCER GOO (MANAGER) |
| Authorized Official Telephone | 8013828820 |
| 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 |
|---|---|
| Cameron Orthodontics | Doing Business As Name - Organization |
| Pediatric Dental and Orthodontic Specialists at Vineyard, LC | Other Name - Individual/Organization |
| Vineyard Pediatric Dentistry & Orthodontics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2940 N Church St, Layton, UT 840406614 | 8015441184 | 8018520440 |
| Street Address |
707 E MILL RD STE 101 |
| City | VINEYARD |
| State | UT |
| Zip Code | 84059-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497115117 | Erin Riley Wilson | Dentist | 707 E Mill Rd Ste 101, Vineyard, UT 84059-5732 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1649879347 | Trevor Gatenby | Assistant, Podiatric | 247 E Zinfandel Ln, Vineyard, UT 84059-2630 | 2020-10-22 |
| 1356812820 | Priority Emergency Response Systems | Emergency Response System Companies | 1771 W 850 S, Orem, UT 84059-4925 | 2018-12-10 |
| 1740839844 | Miryam Millie Harper | Registered Nurse | 552 E Rue De Matth, Vineyard, UT 84059-5124 | 2019-09-11 |
| 1154978724 | Rebecca Davis | Dietitian, Registered | 83 N English Rd, Vineyard, UT 84059-5645 | 2019-08-19 |
| 1598386856 | David Wilson | Pharmacist | 192 S Dry Creek Ln, Vineyard, UT 84059-5680 | 2020-04-28 |
| 1952959298 | Klarysa Thompson | Nurse Practitioner | 29 E Silver Oak Rd, Vineyard, UT 84059-5683 | 2019-08-29 |
| 1972128973 | Xavier A Pierce | Student in an Organized Health Care Education/Training Program | 35 S Sterling Way, Vineyard, UT 84059-5685 | 2020-06-15 |
| 1407313794 | Camilla Tess Israelsen | Behavior Technician | 643 E 380 N, Vineyard, UT 84059-5728 | 2019-02-22 |
| 1326690017 | Vineyard Heights Dental LLC | Dentist | 707 E Mill Rd Ste 302, Vineyard, UT 84059-5729 | 2019-07-12 |
| Find all providers in zip 84059 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1194294488 | Kent Joseph Baugh | Dentist | 164 E 5900 S Ste A109, Murray, UT 84107-7248 | 2018-11-16 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 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.