NPIMap

Organization Active NPI

Payson Family and Cosmetic Dentistry, LLC

  • Dental Clinic/Center
  • Payson, UT
National Provider Identifier
1588964340
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1399149922 Issued in UT
Legal business name
PAYSON FAMILY AND COSMETIC DENTISTRY, LLC
Practice address
107 S 500 W
Payson, UT 84651-2029
Phone
(801) 465-7966
Fax
(801) 303-7055
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Dr. Kevin S Cahoon, DDS, MBANPI 1407917248
Title
Manager
Phone
(801) 560-9757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1399149922 UT Primary

Addresses

Primary practice location

107 S 500 W
Payson, UT 84651-2029

Mailing address

2754 Saint Marys Way
Salt Lake City, UT 84108-2040
Phone (801) 560-9757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1588964340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 SAINT MARYS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082040",
            "telephone_number": "801-560-9757",
            "fax_number": "801-303-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 500 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512029",
            "telephone_number": "801-465-7966",
            "fax_number": "801-303-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON FAMILY AND COSMETIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "CAHOON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-560-9757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "1399149922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.