Country Doc Shop LLC
NPI 1750181376ActiveOrganization· Family Medicine· Cedar City, UT
Family Medicine in Cedar City, Utah, registered in NPPES in March 2025. The authorized official on file is David A. Dalton, DO, Owner Provider. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1750181376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2025 |
| Last updated in NPPES | Nov 10, 2025 |
| Certified by provider | Nov 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Neuromusculoskeletal Medicine & OMM | 204D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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