Active NPI
Ayuen & Nutakor Services
- Neurodevelopmental Disabilities Physician
- Salt Lake City, UT
National Provider Identifier
1093374175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurodevelopmental Disabilities Physician
- Legal business name
- AYUEN & NUTAKOR SERVICES
- Practice address
- 825 N 300 W Ste W307
Salt Lake City, UT 84103-1490 - Phone
- (801) 662-8956
- NPI assigned
- Jun 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ayuen Nutakor
- Title
- Ceo
- Phone
- (801) 662-8956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurodevelopmental Disabilities Physician | 2084P0005X | Primary |
Addresses
Primary practice location
825 N 300 W Ste W307
Salt Lake City, UT 84103-1490
Mailing address
PO Box 57001
Murray, UT 84157-0001
Phone (801) 662-8956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213524127 | Other | UT | DRIVER'S LICENCE NUMBER |
National Provider Directory
National Provider DirectoryLocations
825 N 300 W
Ste W307
Salt Lake City, UT 84103
Phone (801) 662-8956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1093374175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57001",
"city": "MURRAY",
"state": "UT",
"postal_code": "841570001",
"telephone_number": "801-662-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N 300 W STE W307",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841031490",
"telephone_number": "801-662-8956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYUEN & NUTAKOR SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "NUTAKOR",
"authorized_official_first_name": "AYUEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-662-8956"
},
"taxonomies": [
{
"code": "2084P0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENCE NUMBER",
"identifier": "213524127",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.