Individual provider Active NPI

Jason Emett, DMD

  • General Practice Dentistry
  • St George, UT
National Provider Identifier
1447825781
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5984377 Issued in UT
Practice address
1490 E Foremaster Dr Ste 320
Saint George, UT 84790-4505
Phone
(435) 414-3111
NPI assigned
May 20, 2021
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5984377 UT Primary

Addresses

Primary practice location

1490 E Foremaster Dr Ste 320
Saint George, UT 84790-4505

Mailing address

1490 E Foremaster Dr Ste 320
Saint George, UT 84790-4505
Phone (435) 313-5752

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dremett@alloutwisdomteeth.com Direct

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

State licenses

LicenseStateTypeSpecialty
5984377UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All Out Wisdom Teeth, LLC Current Accepting new patients
Dental Surgery Center of Las Vegas, LLC Current Accepting new patients

Locations

1490 E Foremaster Dr
Ste 320
St George, UT 84790
Phone (435) 359-3115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1447825781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 320",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904505",
            "telephone_number": "435-313-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 320",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904505",
            "telephone_number": "435-414-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMETT",
        "first_name": "JASON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5984377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dremett@alloutwisdomteeth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1490 E Foremaster Dr Ste 320",
            "city": "Saint George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847904505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.