Organization Active NPI

Hurricane Pediatric Dentistry

  • Dentist
  • Hurricane, UT
National Provider Identifier
1720480411
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63359359923 Issued in UT
Legal business name
HURRICANE PEDIATRIC DENTISTRY
Practice address
48 S 2500 W Ste 230
Hurricane, UT 84737-3381
Phone
(435) 635-7200
Fax
(435) 635-1444
NPI assigned
Sep 24, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Sean C Schexnayder, DMDNPI 1871800946
Title
Doctor
Phone
(435) 635-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 83400399923 UT
Dentist 122300000X 63359359923 UT Primary

Addresses

Primary practice location

48 S 2500 W Ste 230
Hurricane, UT 84737-3381

Mailing address

48 S 2500 W Ste 230
Hurricane, UT 84737-3381
Phone (435) 635-7200

Other identifiers 3

IdentifierTypeStateIssuer
272960887MedicaidUT
1063530269MedicaidUT
1871800946MedicaidUT

National Provider Directory

National Provider Directory

Locations

48 S 2500 W
Ste 230
Hurricane, UT 84737
Phone (435) 635-7200

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1720480411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 S 2500 W STE 230",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373381",
            "telephone_number": "435-635-7200",
            "fax_number": "435-635-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 S 2500 W STE 230",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373381",
            "telephone_number": "435-635-7200",
            "fax_number": "435-635-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURRICANE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHEXNAYDER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "435-635-7200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "83400399923",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "63359359923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272960887",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063530269",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871800946",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.