NPIMap

Organization Active NPI

Davis Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Layton, UT
National Provider Identifier
1811973589
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2004-ASF-909 Issued in UT
Legal business name
DAVIS SURGICAL CENTER, LLC
Practice address
1544 W Antelope Dr
Layton, UT 84041-1146
Phone
(801) 773-3339
NPI assigned
Dec 15, 2005
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Mrs. Danece Fickett Fickett, RN
Title
Administrator
Phone
(801) 773-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2004-ASF-909 UT Primary

Addresses

Primary practice location

1544 W Antelope Dr
Layton, UT 84041-1146

Mailing address

1544 W Antelope Dr
Layton, UT 84041-1146
Phone (801) 773-3339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1811973589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411146",
            "telephone_number": "801-773-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411146",
            "telephone_number": "801-773-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "FICKETT",
        "authorized_official_first_name": "DANECE",
        "authorized_official_middle_name": "FICKETT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-773-3339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": "2004-ASF-909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.