Scott D Urban DMD MD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5315516 Issued in UT

Legal business name

SCOTT D URBAN DMD MD PC

Doing business as

Utah Facial Surgical Arts

Practice address

7611 Jordan Landing Blvd
Suite 102
West Jordan, UT 84084-5610

Phone

(801) 282-5363

Fax

(801) 282-5360

NPI assigned

Nov 7, 2007

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Smith

Title

Office Manager

Phone

(801) 282-5363

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Utah Facial Surgical Arts Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Dieter Urban, DMD,MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • West Jordan, UT
  • NPI 1750389367
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1497935431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 JORDAN LANDING BLVD",
            "address_2": "SUITE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845610",
            "telephone_number": "801-282-5363",
            "fax_number": "801-282-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 JORDAN LANDING BLVD",
            "address_2": "SUITE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845610",
            "telephone_number": "801-282-5363",
            "fax_number": "801-282-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D URBAN DMD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-282-5363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "5315516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528912530001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Facial Surgical Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Schmidt
• Tanya Schmidt, LCSW
• Danna Mae Schow, MSN, APRN, FNP-C
• Fay M Schreyer, LCSW
• Nikki Schwisow, MSW, LCSW
• Scott K Christensen MD PC
• Madison Eden Scott
• Sean D Biggs, MD (Jordan Landing Clinic)
• Aubrey Ana Searle
• Jeremy Seastrand, DO

• Dental Clinic/Center in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.