Individual provider Active NPI

Austin Stephen Emery, DMD

  • General Practice Dentistry
  • Lehi, UT
National Provider Identifier
1053059634
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12844723-9923 Issued in UT
Practice address
2961 W Maple Loop Dr Ste 110
Lehi, UT 84043-5717
Phone
(801) 766-4042
NPI assigned
May 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12844723-9923 UT Primary

Addresses

Primary practice location

2961 W Maple Loop Dr Ste 110
Lehi, UT 84043-5717

Mailing address

1476 W 250 N
Pleasant Grove, UT 84062-4134
Phone (801) 837-3329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12844723-9923UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thanksgiving Point PDC PLLC General Practice CurrentSince Apr 20, 2025 Accepting new patients
Andrew M. Bateman DMD, PLLC CurrentSince May 29, 2022 Accepting new patients

Locations

2961 W Maple Loop Dr
Ste 110
Lehi, UT 84048
Phone (801) 766-4042

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1053059634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 W 250 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624134",
            "telephone_number": "801-837-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 W MAPLE LOOP DR STE 110",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435717",
            "telephone_number": "801-766-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "AUSTIN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12844723-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.