DR. SHAD B MACKERT D.D.S.
NPI 1144605403
Dentist - Prosthodontics in Draper, UT

Q: What is Shad Mackert's NPI number?

The NPI number for Shad Mackert is 1144605403. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Q: What is Shad Mackert's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Shad Mackert was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 28, 2015PECOS Enrolled

12459 S 300 E STE 202, DRAPER, UT 84020(385) 430-1200 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shad B Mackert D.d.s. NPPES

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

DR. SHAD B MACKERT D.D.S. (NPI 1144605403) is an individual prosthodontics provider in Draper, Utah, licensed in Utah (10220776-8903) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144605403

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. SHAD B MACKERTCredential: D.D.S.

Location Address12459 S 300 E STE 202Draper, UT 84020-1899

Mailing Address12459 S 300 E Ste 202Draper, UT 84020-1899 · (854) 301-2003

Phone(385) 430-1200

Sole ProprietorYes

Enumeration DateJuly 28, 2015

Last NPPES UpdateSeptember 19, 2023

NPPES CertifiedSeptember 19, 2023

✔ NPI 1144605403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

Licenses✔ Licensed in UT · 10220776-8903✔ Licensed in MI · 2901021479

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2901021479 (MI)

12459 S 300 E STE 202, Draper, UT 84020

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shad B Mackert D.d.s. 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 84020 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.

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 Shad Mackert's NPI number?

The NPI number for Shad Mackert is 1144605403. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Shad Mackert located?

Shad Mackert practices at 12459 S 300 E Ste 202, Draper, UT 84020. The listed phone number is (385) 430-1200.

What is Shad Mackert's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Shad Mackert enrolled in Medicare?

Yes. Shad Mackert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shad Mackert was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.