Gavyn Christian Smith, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

8710807 Issued in UT

Practice address

6544 W 10380 N
Highland, UT 84003-6704

Phone

(801) 636-6730

NPI assigned

Jul 16, 2013

Last updated

Mar 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1437590668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 W 10380 N",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840036704",
            "telephone_number": "801-636-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 W 10380 N",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840036704",
            "telephone_number": "801-636-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GAVYN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "8710807-9921",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "8710807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Steven Shelton, DPM
• Lindsey Shipley
• Bailey Slade
• Rodney John Slater, D.M.D.
• Kelsie Smalley, MT-BC
• Julie Spencer, MS
• Nikole Decker Squires, LAT, ATC, CPT
• Steven J. Weaver, O.D. LLC (Alpine Vision Center)
• Denise Stratton, MS, CCC-SLP
• Paisley Summerhays

• Endodontics in Highland, UT
• Providers in Highland, UT by specialty
• Endodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.