Nicholas Smith, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13344926-9925 Issued in UT

Practice address

991 Shepard LN Ste 100
Farmington, UT 84025-2973

Phone

(801) 447-5437

NPI assigned

Jun 9, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1326777699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 CHELSIE DR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840379587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 SHEPARD LN STE 100",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252973",
            "telephone_number": "801-447-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "133449269926",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "13344926-9925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron John Siler, PT, DPT, CSCS
• Brad K. Simmons, LCSW
• Gwendolynn Skeen
• Joel Smith, LMT
• Kaye Espenschied Smith, LCSW
• Patricia Ann Smith, LPN
• Tonja Lynn Smith, FNP
• Smiths Food & Drug Centers Inc
• Alisa Goodwin Snell, L.M.F.T.
• Ruth Snell

• Pediatric Dentistry in Farmington, UT
• Providers in Farmington, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.