NPIMap

Individual provider Active NPI

Alan Schmidt, DMD

  • General Practice Dentistry
  • Hurricane, UT
National Provider Identifier
1255394698
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12533306-9923 Issued in UT
Practice address
82 S 700 W
Hurricane, UT 84737-2462
Phone
(435) 635-4333
Fax
(435) 635-4331
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12533306-9923 UT Primary
General Practice Dentistry 1223G0001X DS025854 PA

Addresses

Primary practice location

82 S 700 W
Hurricane, UT 84737-2462

Mailing address

PO Box 971131
Orem, UT 84097-1131
Phone (435) 653-4333

Other practice location 1

7A Walmart Plaza
Route 19
Monaca, PA 15061
Phone (724) 728-3300

Other identifiers 13

IdentifierTypeStateIssuer
001102800005MedicaidPA
001102800017MedicaidPA
001102800003MedicaidPA
001102800010MedicaidPA
001102800016MedicaidPA
001102800013MedicaidPA
001102800006MedicaidPA
001102800004MedicaidPA
001102800007MedicaidPA
001102800014MedicaidPA
001102800015MedicaidPA
001102800011MedicaidPA
001102800012MedicaidPA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS025854PAMDGeneral Practice Dentistry
12533306-9923UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Dental PDC PLLC CurrentSince Oct 16, 2022 Accepting new patients
Zion Dental Care General Practice PastSince Oct 16, 2022 Accepting new patients

Locations

82 S 700 W
Hurricane, UT 84737
Phone (435) 635-4333

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1255394698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971131",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840971131",
            "telephone_number": "435-653-4333",
            "fax_number": "435-635-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 700 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372462",
            "telephone_number": "435-635-4333",
            "fax_number": "435-635-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7A Walmart Plaza",
            "address_2": "Route 19",
            "address_purpose": "LOCATION",
            "city": "Monaca",
            "state": "PA",
            "postal_code": "15061",
            "country_code": "US",
            "telephone_number": "724-728-3300",
            "fax_number": "724-728-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ALAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12533306-9923",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800016",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800014",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800015",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800011",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001102800012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.