Shad Mackert, D.D.S.
Shad Mackert, D.D.S. is a provider specialising in Prosthodontics in Draper, UT, registered under NPI 1144605403. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 12459 S 300 E STE 202, Draper, UT 84020. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 10220776-8903 | UT | Prosthodontics primary |
| 2901021479 | MI | Prosthodontics |
| 2901021479 | MI | General Practice Dentistry |
Licences are recorded in 2 states: UT, MI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Order And Referring Only - Dentist
- PAC ID
- 2769896950
- Enrollment ID
- I20210129000797
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Michigan and Utah. The practice address on file is in Draper, UT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Prosthodontics covers
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. NUCC Health Care Provider Taxonomy, code 1223P0700X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0700X | Prosthodontics Prosthodontics | 10220776-8903 | UT | primary |
| 1223P0700X | Prosthodontics Prosthodontics | 2901021479 | MI | |
| 1223G0001X | General Practice Dentistry General Practice | 2901021479 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1144605403 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 28, 2015 |
| Last updated | Sep 19, 2023 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | D.D.S. |
| Practice address |
12459 S 300 E STE 202 Draper, UT 84020 (385) 430-1200 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 4 | 4 | 6 | 0 | 5 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 8 | 4 | 3 | 0 | 1 | 4 | 0 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.