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DR. DAVID JOSEPH SMOOT DDS
NPI 1508874090
Dentist - Oral and Maxillofacial Surgery in Salt Lake City, UT

Active since August 03, 2006Opted out of Medicare · through Aug 19, 2027
6095 SO 300 E, #120, SALT LAKE CITY, UT 84107(801) 264-8504(801) 264-0226 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Joseph Smoot Dds NPPES

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

DR. DAVID JOSEPH SMOOT DDS (NPI 1508874090) is an individual oral and maxillofacial surgery provider in Salt Lake City, Utah, licensed in Utah (791387579924) and active in the NPI registry since August 2006. He has opted out of Medicare through August 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508874090
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DAVID JOSEPH SMOOTCredential: DDS
Location Address6095 SO 300 E, #120Salt Lake City, UT 84107
Mailing Address6095 So 300 E, #120Salt Lake City, UT 84107 · (801) 264-8504 · Fax (801) 264-0226
Phone(801) 264-8504
Fax(801) 264-0226
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508874090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in UT · 791387579924
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6095 SO 300 E, Salt Lake City, UT 84107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. David Joseph Smoot Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2015 through August 19, 2027.

Opt-Out Effective DateAugust 19, 2015
Opt-Out In Effect ThroughAugust 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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 David Smoot's NPI number?

The NPI number for David Smoot is 1508874090. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is David Smoot located?

David Smoot practices at 6095 So 300 E #120, Salt Lake City, UT 84107. The listed phone number is (801) 264-8504.

What is David Smoot's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Smoot enrolled in Medicare?

No. David Smoot has opted out of Medicare through August 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Smoot accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list David Smoot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Smoot was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.