Izzy Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IZZY INC.

Doing business as

The Center of Dental Professionals

Practice address

530 E 500 S
Salt Lake City, UT 84102

Phone

(801) 747-8000

Fax

(801) 747-8001

NPI assigned

Apr 4, 2008

Organization subpart

Yes

Parent organization

IZZY INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Christie Marie McCutchan

Title

Owner

Phone

(801) 747-8012

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• The Center of Dental Professionals Doing business as

Part of

Izzy Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1114190659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-747-8000",
            "fax_number": "801-747-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-747-8000",
            "fax_number": "801-747-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZZY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IZZY INC.",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHAN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-747-8012",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022824566005",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5295997150001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114118601",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278683018001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center of Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexis Izatt
• McCall Izatt
• Diego Ize-Ludlow, MD
• J Barry Robb MD Professional Corporation
• J C Enterprises Inc
• J Preston Hughes a Professional Corporation
• J Q Medical Supply, LLC
• J. Dayne Petersen M.D., PC

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.