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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2026
- 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
- Mr. Justin Dalton
- Title
- Administrator
- Phone
- (801) 387-3618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba North Cache Valley Clinic
- Family Medicine Physician
- Hyde Park, UT
- NPI 1740324581
Member Of
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.