Individual provider Active NPI

Scot D Drury, DDS

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1063632735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
142848-9922 Issued in UT
Practice address
1400 Foothill Dr
Suite B38
Salt Lake City, UT 84108-2327
Phone
(801) 582-9351
Fax
(801) 582-9350
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 142848-9922 UT Primary

Addresses

Primary practice location

1400 Foothill Dr
Suite B38
Salt Lake City, UT 84108-2327

Mailing address

1400 Foothill Dr
Suite B38
Salt Lake City, UT 84108-2327
Phone (801) 582-9351

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
142848-9922UTMDGeneral Practice Dentistry

Networks

  • UT PPO D-SNP

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063632735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FOOTHILL DR",
            "address_2": "SUITE B38",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082327",
            "telephone_number": "801-582-9351",
            "fax_number": "801-582-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOOTHILL DR",
            "address_2": "SUITE B38",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082327",
            "telephone_number": "801-582-9351",
            "fax_number": "801-582-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRURY",
        "first_name": "SCOT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142848-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.