Organization Active NPI

Smith and Macdonald Pediatric Dentistry

  • Pediatric Dentistry
  • American Fork, UT
National Provider Identifier
1316234032
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5602607-9923 Issued in UT
Legal business name
SMITH AND MACDONALD PEDIATRIC DENTISTRY
Practice address
148 S 1100 E
American Fork, UT 84003-2817
Phone
(801) 756-6048
Fax
(801) 756-3545
NPI assigned
Jul 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. Nathan England Smith, DDS
Title
Member
Phone
(801) 756-6048

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 5602607-9923 UT Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 7689762-9923 UT

Addresses

Primary practice location

148 S 1100 E
American Fork, UT 84003-2817

Mailing address

148 S 1100 E
American Fork, UT 84003-2817
Phone (801) 756-6048

Other identifiers 2

IdentifierTypeStateIssuer
1790943629OtherUTDR. MACDONALD NPI
1811918329OtherUTDR. SMITH NPI

National Provider Directory

National Provider Directory

Locations

1232 N Commerce Dr
Saratoga Springs, UT 84045
Phone (801) 766-8410

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1316234032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "801-756-6048",
            "fax_number": "801-756-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "801-756-6048",
            "fax_number": "801-756-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AND MACDONALD PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ENGLAND",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-756-6048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "5602607-9923",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "7689762-9923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MACDONALD NPI",
            "identifier": "1790943629",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SMITH NPI",
            "identifier": "1811918329",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.