DR. MICAH G. MORTENSEN D.D.S., M.S.D.
NPI 1891857579
Dentist - Orthodontics and Dentofacial Orthopedics in Salt Lake City, UT

Active since December 15, 2006
6287 S REDWOOD RD STE 202, SALT LAKE CITY, UT 84123(801) 262-3777 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Micah G. Mortensen D.d.s., M.s.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICAH G. MORTENSEN D.D.S., M.S.D. (NPI 1891857579) is an individual orthodontics and dentofacial orthopedics provider in Salt Lake City, Utah, licensed in Utah (4726746-9921) and active in the NPI registry since December 2006. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1891857579
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. MICAH G. MORTENSENCredential: D.D.S., M.S.D.
Location Address6287 S REDWOOD RD STE 202Salt Lake City, UT 84123-6655
Mailing Address15359 W Columbine DrSurprise, AZ 85379-9190
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
NPI 1891857579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in UT · 4726746-9921
Definition
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.
6287 S REDWOOD RD STE 202, Salt Lake City, UT 84123

Secondary Practice Locations 4

Location 13535 S Market St Ste 125West Valley City, UT 84119-3617 · Phone (801) 966-6681
Location 213825 S Redwood RdBluffdale, UT 84065-5222 · Phone (801) 515-5858
Location 34651 W 13400 SRiverton, UT 84096-6419 · Phone (801) 515-5858
Location 4263 Country Club, Ste 104Stansbury Park, UT 84074-9602 · Phone (435) 579-3800

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
6287 S REDWOOD RD STE 202
SALT LAKE CITY, UT 84123
Dentist (Orthodontics and Dentofacial Orthopedics)
6287 S REDWOOD RD STE 202
TAYLORSVILLE, UT 84123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Mortensen's NPI number?

The NPI number for Micah Mortensen is 1891857579. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Micah Mortensen located?

Micah Mortensen practices at 6287 S Redwood Rd Ste 202, Salt Lake City, UT 84123. The listed phone number is (801) 262-3777.

What is Micah Mortensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Micah Mortensen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 10 other insurers list Micah Mortensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micah Mortensen was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.