NPIMap

Organization Active NPI

Robert E. Nakken M.D. P.C.

  • Specialist
  • Cedar City, UT
National Provider Identifier
1861728008
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
362925-1205 Issued in UT
Legal business name
ROBERT E. NAKKEN M.D. P.C.
Practice address
166 W 1325 N Ste 150
Cedar City, UT 84721-7797
Phone
(435) 586-6962
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Robert Eugene Nakken, M.D.
Title
Owner/Operator
Phone
(435) 586-6962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 362925-1205 UT Primary

Addresses

Primary practice location

166 W 1325 N Ste 150
Cedar City, UT 84721-7797

Mailing address

166 W 1325 N Ste 150
Cedar City, UT 84721-7797
Phone (435) 586-6962

Other identifiers 1

IdentifierTypeStateIssuer
52837347801001MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1861728008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W 1325 N STE 150",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217797",
            "telephone_number": "435-586-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W 1325 N STE 150",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217797",
            "telephone_number": "435-586-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. NAKKEN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "NAKKEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "435-586-6962",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "362925-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52837347801001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.