Active NPI
Chester Kemp Smyth, D.D.S.
- Pediatric Dentistry
- Murray, UT
National Provider Identifier
1508800749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 136760
- Practice address
- 492 E Moss Creek Dr
Murray, UT 84107-4230 - Phone
- (801) 694-7161
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 136760 | UT | Primary |
Addresses
Primary practice location
492 E Moss Creek Dr
Murray, UT 84107-4230
Mailing address
492 E Moss Creek Dr
Murray, UT 84107-4230
Phone (801) 694-7161
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136760 | UT | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1508800749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 E MOSS CREEK DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074230",
"telephone_number": "801-694-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 E MOSS CREEK DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074230",
"telephone_number": "801-694-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYTH",
"first_name": "CHESTER",
"middle_name": "KEMP",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "UT",
"license": "136760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.