Organization Active NPI

Ayuen & Nutakor Services

  • Neurodevelopmental Disabilities Physician
  • Salt Lake City, UT
National Provider Identifier
1093374175
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurodevelopmental Disabilities PhysicianTaxonomy code 2084P0005X
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

Updated by the provider on Jun 11, 2019

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)CodeLicenseStatePrimary
Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
213524127OtherUTDRIVER'S LICENCE NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.