COUNTRY DOC SHOP LLC
NPI 1750181376
Family Medicine in Cedar City, UT
About Country Doc Shop Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY DOC SHOP LLC (NPI 1750181376) is a healthcare organization registered as a family medicine in Cedar City, Utah and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Caliente and lists David A Dalton, Owner Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Country Doc Shop Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Country Doc Shop LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Country Doc Shop LLC's NPI number?
The NPI number for Country Doc Shop LLC is 1750181376. It was assigned to this organization in the NPPES registry on March 13, 2025.
Where is Country Doc Shop LLC located?
Country Doc Shop LLC is located at 555 S Sunset Dr, Cedar City, UT 84720. The listed phone number is (435) 233-6350.
What is Country Doc Shop LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Country Doc Shop LLC enrolled in Medicare?
Yes. Country Doc Shop LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Country Doc Shop LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Country Doc Shop LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Country Doc Shop LLC accept?
Health plans from Molina Healthcare list Country Doc Shop LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Country Doc Shop LLC was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Country Doc Shop Llc · NPI 1750181376
Family Medicine organization in Cedar City, Utah. Organization record, active in the CMS NPPES registry since March 13, 2025.
## Identity
- **NPI:** 1750181376 (Entity type: Organization)
- **Enumerated:** March 13, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** David Dalton, OWNER PROVIDER
## Practice location
- **Address:** 555 S SUNSET DR, Cedar City, UT 84720-3538
- **Phone:** (435) 233-6350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750181376) · Data from the CMS NPPES public registry.