Scott Allen

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12782529 Issued in UT

Practice address

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

Phone

(801) 479-9220

Fax

(801) 479-0837

NPI assigned

Sep 11, 2017

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mathew D Schweppe

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

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

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1225557341",
    "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",
            "fax_number": "801-479-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "12782529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahc Ogden LLC (Pine View Transitional Rehab)
• Alan Brooks Crossroads
• Lance Albrechtsen, DMD, MS
• Jessika Allen, PT, DPT ATC/L, FAAOM
• O. Kent Allen, LMFT
• Eliza Alvey
• Kessia Amaya Camacho, RBT
• Ampelis Health at Mindful Medical
• Derek Andersen, L.M.F.T.
• Aidrey Anderson, RBT

• 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 Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.