Individual provider Active NPI

Scott T Dittus, DPM

  • Podiatrist
  • Wernersville, PA
National Provider Identifier
1003842840
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003722L Issued in PA
Practice address
Route 422, Sportsman Road
Building 37
Wernersville, PA 19565-0300
Phone
(610) 678-3411
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003722L PA Primary

Addresses

Primary practice location

Route 422, Sportsman Road
Building 37
Wernersville, PA 19565-0300

Mailing address

700 Lower State Rd
Unit 17CZ
North Wales, PA 19454-2167
Phone (215) 591-9061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1003842840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LOWER STATE RD",
            "address_2": "UNIT 17CZ",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542167",
            "telephone_number": "215-591-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 422, SPORTSMAN ROAD",
            "address_2": "BUILDING 37",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195650300",
            "telephone_number": "610-678-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTUS",
        "first_name": "SCOTT",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003722L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.