Active NPI
Benjamin Maxfield Cutler, DC, MS
- Chiropractor
- Draper, UT
National Provider Identifier
1043892128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12236251-1202
- Practice address
- 12176 S 1000 E Ste 10
Draper, UT 84020-3221 - Phone
- (801) 396-8155
- NPI assigned
- Apr 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12236251-1202 | UT | Primary |
Addresses
Primary practice location
12176 S 1000 E Ste 10
Draper, UT 84020-3221
Mailing address
12044 S Genova Dr
Draper, UT 84020-6111
Phone (801) 803-8340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12236251-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1043892128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12044 S GENOVA DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840206111",
"telephone_number": "801-803-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12176 S 1000 E STE 10",
"city": "DRAPER",
"state": "UT",
"postal_code": "840203221",
"telephone_number": "801-396-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "BENJAMIN",
"middle_name": "MAXFIELD",
"credential": "DC, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "12236251-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.