Jeffrey Schweppe, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11166856-9924 Issued in UT

Practice address

5685 S 1475 E Ste 3a
South Ogden, UT 84403-4598

Phone

(801) 479-9220

NPI assigned

Jun 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mathew D Schweppe

  • Pediatric Dentistry
  • South Ogden, UT
  • NPI 1013261007
  NPD (past)
• Schweppe Pediatric Dental

  • Pediatric Dentistry
  • South Ogden, UT
  • NPI 1710545769
  NPD (past)
• University Pediatric Dentistry Associates

  • Pediatric Dentistry
  • Indianapolis, IN
  • NPI 1003947599
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1093235152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 S 1475 E STE 3A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034598",
            "telephone_number": "801-479-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5685 S 1475 E STE 3A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034598",
            "telephone_number": "801-479-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEPPE",
        "first_name": "JEFFREY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013033A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "LDR170180",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "11166856-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Salcedo, RBT
• Salt Lake City Vamc
• Janet Maricarmen Sanchez
• Nicholas Schnakenberg, RBT
• Schweppe Pediatric Dental
• Mathew Schweppe, DDS
• Lyndsi Irene Scott, PHARMD
• Sarah Seipel, RBT
• Hailey Shaw, RBT
• Shelby Pitts FNP PLLC

• Pediatric Dentistry in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.