Individual provider Active NPI

David Johnson Cutler, CCC/SLP

  • Speech-Language Pathologist
  • South Jordan, UT
National Provider Identifier
1124302989
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112287-4102 Issued in UT
Practice address
10588 S Redwood Rd
Suite B
South Jordan, UT 84095-8503
Phone
(801) 651-5262
NPI assigned
Sep 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 112287-4102 UT Primary

Addresses

Primary practice location

10588 S Redwood Rd
Suite B
South Jordan, UT 84095-8503

Mailing address

2544 Landau LN
South Jordan, UT 84095-3487
Phone (801) 651-5262

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

State licenses

LicenseStateTypeSpecialty
112287-4102UTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1124302989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 LANDAU LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953487",
            "telephone_number": "801-651-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10588 S REDWOOD RD",
            "address_2": "SUITE B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958503",
            "telephone_number": "801-651-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "DAVID",
        "middle_name": "JOHNSON",
        "name_prefix": "Mr.",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "112287-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.