Individual provider Active NPI

Dallas Michael Smuin, MD

  • Orthopaedic Surgery Physician
  • Roosevelt, UT
National Provider Identifier
1659862555
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
8101734-1205 Issued in UT
Practice address
250 W 300 N
Roosevelt, UT 84066-2351
Phone
(435) 722-4691
Fax
(435) 722-9291
NPI assigned
May 25, 2018
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MT215025 PA
Orthopaedic Surgery Physician 207X00000X MD471072 PA
Orthopaedic Surgery Physician 207X00000X MD2023-0551 NM
Orthopaedic Surgery Physician 207X00000X 8101734-1205 UT Primary

Addresses

Primary practice location

250 W 300 N
Roosevelt, UT 84066-2351

Mailing address

250 W 300 N
Roosevelt, UT 84066-2351
Phone (435) 722-4691

Other practice location 1

1219 Gusdorf Rd Ste A
Taos, NM 87571-6499
Phone (575) 758-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230703002400 NM Practitioner - Orthopedic Surgery 0345609764 Reassigns benefits to 2 organizations
I20240718004649 UT Practitioner - Orthopedic Surgery 0345609764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Pennsylvania State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uintah Basin Medical CenterGroup PAC ID 0244131944, shared by 9 NPIs, 62 clinicians
Northeastern Utah Medical GroupGroup PAC ID 2961496609, 52 clinicians

Practice addresses (Care Compare)

210 W 300
Roosevelt, UT 84066-2336

250 W 300
Roosevelt, UT 84066-2336
Phone (435) 722-4691

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as apm
Quality
71.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2023-0551NMMDOrthopaedic Surgery Physician
MD471072PAMDOrthopaedic Surgery Physician
MT215025PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Aug 1, 2023 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince Aug 1, 2024 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince Aug 1, 2024 Accepting new patients
Taos Orthopaedic Institute, PC Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Northeastern Utah Medical Group Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Northeastern Utah Medical Group Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1219 Gusdorf Rd
Ste A
Taos, NM 87571
Phone (505) 758-0009

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1659862555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 300 N",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662351",
            "telephone_number": "435-722-4691",
            "fax_number": "435-722-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 300 N",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662351",
            "telephone_number": "435-722-4691",
            "fax_number": "435-722-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Gusdorf Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875716499",
            "country_code": "US",
            "telephone_number": "575-758-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMUIN",
        "first_name": "DALLAS",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT215025",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD471072",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2023-0551",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "8101734-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, UT

Sources for this page

Verify at the official NPI Registry.