Individual provider Active NPI

Morgan Jay Smith, D.M.D.

  • General Practice Dentistry
  • Murray, UT
National Provider Identifier
1598943136
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6643737 Issued in UT
Practice address
142 W. Winchester St.
Murray, UT 84107-7381
Phone
(801) 266-4427
Fax
(801) 266-9034
NPI assigned
Feb 6, 2008
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 6643737 UT Primary

Addresses

Primary practice location

142 W. Winchester St.
Murray, UT 84107-7381

Mailing address

PO Box 40760
Mesa, AZ 85274
Phone (480) 706-9430

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
I20160118000117 UT Order and Referring Only - DentistPractitioner - Dentist 2264735703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6643737UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MJS Dental, Inc CurrentSince Jul 25, 2021 Accepting new patients

Locations

142 W Winchester St
Murray, UT 84107
Phone (801) 266-4427

6065 S Fashion Blvd
Ste 200
Salt Lake City, UT 84107
Phone (801) 266-4427

Organizations & group practices 1

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1598943136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40760",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85274",
            "telephone_number": "480-706-9430",
            "fax_number": "480-461-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W. WINCHESTER ST.",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077381",
            "telephone_number": "801-266-4427",
            "fax_number": "801-266-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MORGAN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6643737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.