Individual provider Active NPI

Stephen Kent Burton, DPM

  • Foot & Ankle Surgery Podiatrist
  • St George, UT
National Provider Identifier
1306843099
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
104790-0501 Issued in UT
Practice address
754 S Main
Suite 3
St George, UT 84770-5504
Phone
(435) 628-2671
Fax
(435) 634-1601
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 104790-0501 UT
Foot & Ankle Surgery Podiatrist 213ES0103X 104790-0501 UT Primary

Addresses

Primary practice location

754 S Main
Suite 3
St George, UT 84770-5504

Mailing address

754 S Main
Suite 3
St George, UT 84770-5504
Phone (435) 628-2671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000854 UT Practitioner - Podiatry 0446226682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Foot & Ankle Institute LLC Podiatrist CurrentSince Oct 30, 2004 Accepting new patients
Paiute Indian Tribe of Utah Past Accepting new patients
Meta Foot and Ankle PC Foot & Ankle Surgery PastSince Jan 14, 2008 Accepting new patients
Paiute Indian Tribe of Utah Past Accepting new patients

Locations

754 S Main St
Ste 3
St George, UT 84770
Phone (435) 628-2671

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1306843099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S MAIN",
            "address_2": "SUITE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705504",
            "telephone_number": "435-628-2671",
            "fax_number": "435-634-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S MAIN",
            "address_2": "SUITE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705504",
            "telephone_number": "435-628-2671",
            "fax_number": "435-634-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "STEPHEN",
        "middle_name": "KENT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "104790-0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "104790-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.