NPIMap

Organization Active NPI

Mackay Dental and Associates

  • General Practice Dentistry
  • West Valley City, UT
National Provider Identifier
1700821089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
134443 Issued in UT
Legal business name
MACKAY DENTAL AND ASSOCIATES
Practice address
3550 S 4800 W
Suite J
West Valley City, UT 84120-2966
Phone
(801) 969-3025
Fax
(801) 969-6115
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lyndon C. Mackay, D.D.S.NPI 1093910267
Title
President
Phone
(801) 969-3025

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 134443 UT Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5331693 UT
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5923241 UT

Addresses

Primary practice location

3550 S 4800 W
Suite J
West Valley City, UT 84120-2966

Mailing address

3550 S 4800 W
Suite J
West Valley City, UT 84120-2966
Phone (801) 969-3025

Other identifiers 6

IdentifierTypeStateIssuer
529557774001MedicaidUT
83693OtherUTPEHP DR DEMILLE
1990OtherUTPEHP DR LYNDON MACKAY
529271638001MedicaidUT
529588149009MedicaidUT
73439OtherUTPEHP DR DAVID MACKAY

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700821089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S 4800 W",
            "address_2": "SUITE J",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202966",
            "telephone_number": "801-969-3025",
            "fax_number": "801-969-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S 4800 W",
            "address_2": "SUITE J",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202966",
            "telephone_number": "801-969-3025",
            "fax_number": "801-969-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKAY DENTAL AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "LYNDON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-969-3025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "134443",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5331693",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5923241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529557774001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP DR DEMILLE",
            "identifier": "83693",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP DR LYNDON MACKAY",
            "identifier": "1990",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529271638001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529588149009",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP DR DAVID MACKAY",
            "identifier": "73439",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.