Active NPI
John R Schouten, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Springville, UT
National Provider Identifier
1366647414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 375746-9921
- Practice address
- 378 E 400 S Ste 2
Springville, UT 84663-1982 - Phone
- (801) 491-9372
- Fax
- (801) 491-0856
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 375746-9921 | UT | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1055 | WY |
Addresses
Primary practice location
378 E 400 S Ste 2
Springville, UT 84663-1982
Mailing address
1513 E 300 S
Springville, UT 84663-2771
Phone (801) 491-8470
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055 | WY | MD | Clinical Social Worker |
| 375746-9921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366647414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 E 300 S",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632771",
"telephone_number": "801-491-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 E 400 S STE 2",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846631982",
"telephone_number": "801-491-9372",
"fax_number": "801-491-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOUTEN",
"first_name": "JOHN",
"middle_name": "R",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "375746-9921",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WY",
"license": "1055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.