Organization Active NPI

A Kid's Place Dentistry Inc.

  • General Practice Dentistry
  • Murray, UT
National Provider Identifier
1457548687
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
A KID'S PLACE DENTISTRY INC.
Practice address
292 E 3900 S
Suite 7
Murray, UT 84107-1557
Phone
(801) 262-0807
Fax
(801) 261-7459
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Christie McCutchan
Title
President
Phone
(801) 262-0807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

292 E 3900 S
Suite 7
Murray, UT 84107-1557

Mailing address

292 E 3900 S
Suite 7
Murray, UT 84107-1557
Phone (801) 262-0807

National Provider Directory

National Provider Directory

Locations

292 E 3900 S
Ste 7
Murray, UT 84107
Phone (801) 262-0807

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1457548687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 E 3900 S",
            "address_2": "SUITE 7",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841071557",
            "telephone_number": "801-262-0807",
            "fax_number": "801-261-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 E 3900 S",
            "address_2": "SUITE 7",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841071557",
            "telephone_number": "801-262-0807",
            "fax_number": "801-261-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A KID'S PLACE DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHAN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-262-0807"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.