Kody Call Mund, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6826055-9922 Issued in UT

Practice address

3785 Harrison Blvd
Suite 1
Ogden, UT 84403-2071

Phone

(801) 621-2116

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A-1 Dental PC

  • General Practice Dentistry
  • Ogden, UT
  • NPI 1811269731
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1700069804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 HARRISON BLVD",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032071",
            "telephone_number": "801-621-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 HARRISON BLVD",
            "address_2": "SUITE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032071",
            "telephone_number": "801-621-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUND",
        "first_name": "KODY",
        "middle_name": "CALL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6826055-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Ogden Anesthesia Group LLC
• Mt Ogden Eye Center LLC (Utah Eye Centers)
• Mt Ogden Utah Surgical Center LLC
• Mt. Ogden Dental Clinic, Inc.
• Mt. Ogden Surgical Center LLC
• Britney Leigh Munday, NP
• Benjamin Munk
• Tava Muranaka
• Joshua Murchie
• Erica Murdoch

• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.