Scott Dieter Urban, DMD,MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

5315516-9924 Issued in UT

Practice address

7532 S Center View CT Ste 102
Suite 102
West Jordan, UT 84084-5547

Phone

(801) 282-5363

Fax

(801) 282-5360

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Urban Facial Surgical Arts PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • West Jordan, UT
  • NPI 1659296986
  NPD (past)
• Scott D Urban DMD MD PC

  • Dental Clinic/Center
  • West Jordan, UT
  • NPI 1497935431
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1750389367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 S CENTER VIEW CT STE 102",
            "address_2": "SUITE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845547",
            "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": "7532 S CENTER VIEW CT STE 102",
            "address_2": "SUITE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845547",
            "telephone_number": "801-282-5363",
            "fax_number": "801-282-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "SCOTT",
        "middle_name": "DIETER",
        "credential": "DMD,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "UT",
            "license": "5315516-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Tyson, RN
• Ufmcs
• Joe Uharriet, MBA, PHD
• Christopher Paul Uhles, LCMHC
• Ultrasound Specialists, Inc.
• Silvia Uscategui, PT
• Ut Bcdo Specialty Dental Services, PLLC
• Ut Oms Specialty Dental Services PLLC
• Ut-Mua, Inc.
• Utah Center for Psychological Services

• Oral & Maxillofacial Surgery (D.M.D.) in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.