NPIMap

Organization Active NPI

Utah Surgical Arts

  • Oral and Maxillofacial Surgery Clinic/Center
  • Provo, UT
National Provider Identifier
1275722357
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
39634 Issued in UT
Legal business name
UTAH SURGICAL ARTS
Practice address
3610 N University Ave
Suite 150
Provo, UT 84604-4437
Phone
(801) 356-2226
Fax
(801) 812-1734
NPI assigned
Oct 15, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Michael D Harris, M.D., D.D.S.NPI 1669595765
Title
Oral/Maxillofacial Surgeon
Phone
(801) 356-2226

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 39634 UT Primary

Addresses

Primary practice location

3610 N University Ave
Suite 150
Provo, UT 84604-4437

Mailing address

3610 N University Ave
Suite 150
Provo, UT 84604-4437
Phone (801) 356-2226

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2018270Utah Surgical Arts3610 N University Ave Ste 150, Provo, UT 84604Certificate of waiverDec 29, 2026

National Provider Directory

National Provider Directory

Locations

3610 N University Ave
Ste 150
Provo, UT 84604
Phone (801) 341-9759

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1275722357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY AVE",
            "address_2": "SUITE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044437",
            "telephone_number": "801-356-2226",
            "fax_number": "801-812-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY AVE",
            "address_2": "SUITE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044437",
            "telephone_number": "801-356-2226",
            "fax_number": "801-812-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH SURGICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ORAL/MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "801-356-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "39634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.