Individual provider Active NPI

Scott Vautrin, D.C.

  • Chiropractor
  • Saint George, UT
National Provider Identifier
1093868150
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5230235-1202 Issued in UT
Practice address
594 West 400 North
Saint George, UT 84770
Phone
(435) 627-2112
Fax
(435) 628-2845
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5230235-1202 UT Primary

Addresses

Primary practice location

594 West 400 North
Saint George, UT 84770

Mailing address

PO Box 910746
Saint George, UT 84791-0746
Phone (435) 627-2112

Other identifiers 1

IdentifierTypeStateIssuer
20-0623875OtherUTFEDERAL TAX I.D. NUMBER

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5230235-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1093868150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910746",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847910746",
            "telephone_number": "435-627-2112",
            "fax_number": "435-628-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 WEST 400 NORTH",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-627-2112",
            "fax_number": "435-628-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUTRIN",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5230235-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I.D. NUMBER",
            "identifier": "20-0623875",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.