Organization Active NPI

Smile Med

  • Dentist
  • St George, UT
National Provider Identifier
1043806300
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE MED
Practice address
560 S Valley View Dr Ste 2
St George, UT 84770-4400
Phone
(975) 905-0864
Fax
(214) 594-0006
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Dr. Eric Snowden, MD
Title
Owner
Phone
(975) 905-0864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

560 S Valley View Dr Ste 2
St George, UT 84770-4400

Mailing address

560 S Valley View Dr Ste 2
St George, UT 84770-4400
Phone (975) 905-0864

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insurance@smilemed.dental Direct Smile Med

National Provider Directory

National Provider Directory

Locations

560 S Valley View Dr
Ste 2
St George, UT 84770
Phone (975) 905-0864

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1043806300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S VALLEY VIEW DR STE 2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704400",
            "telephone_number": "975-905-0864",
            "fax_number": "214-594-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S VALLEY VIEW DR STE 2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704400",
            "telephone_number": "975-905-0864",
            "fax_number": "214-594-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "SNOWDEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "975-905-0864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@smilemed.dental",
            "affiliation": "Y",
            "affiliationName": "Smile Med",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "560 S Valley View Dr Ste 2",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847704400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.