Individual provider Active NPI

Carl Blaine Curtis, DDS

  • General Practice Dentistry
  • St George, UT
National Provider Identifier
1396944047
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6645984-9922 Issued in UT
Practice address
437 S Bluff St Ste 102
St George, UT 84770-3553
Phone
(435) 688-2882
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 6645984-9922 UT Primary
General Practice Dentistry 1223G0001X D009922 AZ

Addresses

Primary practice location

437 S Bluff St Ste 102
St George, UT 84770-3553

Mailing address

14 N Hale St
Grantsville, UT 84029
Phone (435) 884-3476

Other practice location 1

3201 W Peoria Ave Ste D709
Phoenix, AZ 85029-4612
Phone (623) 242-6000

Other names 1

  • C Blaine Curtis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813002733 UT Practitioner - Dentist 3779880661 Reassigns benefits to 1 organization
Practice locations: St George, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D009922AZMDGeneral Practice Dentistry
6645984-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Dentures PLLC General Practice CurrentSince Oct 29, 2021 Accepting new patients
Arizona Dental Ventures Peoria LLC PastSince May 12, 2024 Accepting new patients

Locations

437 S Bluff St
Ste 102
St George, UT 84770
Phone (435) 635-3727

1091 N Bluff St
Ste 812
St George, UT 84770
Phone (435) 688-2772

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1396944047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N HALE ST",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "84029",
            "telephone_number": "435-884-3476",
            "fax_number": "435-884-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S BLUFF ST STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703553",
            "telephone_number": "435-688-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Peoria Ave Ste D709",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294612",
            "country_code": "US",
            "telephone_number": "623-242-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "CARL",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6645984-9922",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "CURTIS",
            "middle_name": "BLAINE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.