Organization Active NPI

McKay Dee Surgical Center LLC

Doing business as Intermountain Health McKay-Dee Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Ogden, UT
National Provider Identifier
1346420882
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MCKAY DEE SURGICAL CENTER LLC
Doing business as
Intermountain Health McKay-Dee Surgery Center
Practice address
3890 Medical Dr Ste 200
Ogden, UT 84403-2319
Phone
(385) 470-3660
Fax
(801) 650-6105
NPI assigned
Nov 13, 2007
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mr. Justin Dalton
Title
Administrator
Phone
(801) 387-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3890 Medical Dr Ste 200
Ogden, UT 84403-2319

Mailing address

3890 Medical Dr Ste 200
Ogden, UT 84403-2319
Phone (385) 470-3660

Other names 1

  • Intermountain Health McKay-Dee Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071226000475 UT Part B Supplier - Ambulatory Surgical Center 1759471014 Practice locations: Ogden, UT

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
McKay Dee Surgical Center LLCCCN 46C0001004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1346420882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 MEDICAL DR STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032319",
            "telephone_number": "385-470-3660",
            "fax_number": "801-650-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 MEDICAL DR STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032319",
            "telephone_number": "385-470-3660",
            "fax_number": "801-650-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKAY DEE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-387-3618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health McKay-Dee Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.