1. Home
  2. Directory
  3. Utah
  4. St George
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MASON BART SMITH
NPI 1063266997
Dentist - Pediatric Dentistry in St George, UT

Active since April 16, 2024PECOS Enrolled
772 N DIXIE DR STE 101, ST GEORGE, UT 84770(435) 628-0511 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 31, 2026, Apr 16, 2024 (2 updates tracked since 2024).

About Mason Bart Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASON BART SMITH (NPI 1063266997) is an individual pediatric dentistry provider in St George, Utah, licensed in Utah (14251849-9925) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1063266997
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameMASON BART SMITH
Location Address772 N DIXIE DR STE 101St George, UT 84770-7444
Mailing Address772 N Dixie Dr Ste 101St George, UT 84770-7444 · (436) 628-0511
Phone(435) 628-0511
Sole ProprietorNo
Enumeration DateApril 16, 2024
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1063266997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in UT · 14251849-9925✔ Licensed in NV · S6-250C
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
772 N DIXIE DR STE 101, St George, UT 84770
Open in Google Maps ↗

Secondary Practice Location 1

Location 1256 E Lake Mead Pkwy Ste CHenderson, NV 89015-5585 · Phone (702) 703-5410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mason Bart Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84770 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CODY S JOHNSON D.M.D.
Dentist (Pediatric Dentistry)
772 N DIXIE DR STE 101
ST GEORGE, UT 84770
Washington County (435) 628-0511
JOHNSON PEDIATRIC DENTISTRY
Clinic/Center (Dental)
772 N DIXIE DR STE 101
ST GEORGE, UT 84770
Washington County (435) 628-0511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mason Smith's NPI number?

The NPI number for Mason Smith is 1063266997. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Mason Smith located?

Mason Smith practices at 772 N Dixie Dr Ste 101, St George, UT 84770. The listed phone number is (435) 628-0511.

What is Mason Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Mason Smith enrolled in Medicare?

Yes. Mason Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mason Smith was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.