Organization Active NPI

Scott M Healey DMD

  • Dentist
  • Lindon, UT
National Provider Identifier
1164701124
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
139600-9922 Issued in UT
Legal business name
SCOTT M HEALEY DMD
Practice address
530 N State St
Lindon, UT 84042-1321
Phone
(801) 785-0584
Fax
(801) 785-0586
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Scott M Healey, D.M.DNPI 1528272556
Title
President
Phone
(801) 785-0584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 139600-9922 UT Primary

Addresses

Primary practice location

530 N State St
Lindon, UT 84042-1321

Mailing address

530 N State St
Lindon, UT 84042-1321
Phone (801) 785-0584

Other identifiers 1

IdentifierTypeStateIssuer
529784674007MedicaidUT

National Provider Directory

National Provider Directory

Locations

530 N State St
Lindon, UT 84042
Phone (801) 785-0584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1164701124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N STATE ST",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840421321",
            "telephone_number": "801-785-0584",
            "fax_number": "801-785-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N STATE ST",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840421321",
            "telephone_number": "801-785-0584",
            "fax_number": "801-785-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M HEALEY DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-785-0584",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "139600-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529784674007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindon, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.