Individual provider Active NPI

Kent S Chapman, PA

  • Physician Assistant
  • Mt Pleasant, UT
National Provider Identifier
1366480162
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1026451206 Issued in UT
Practice address
1100 S Medical Dr
Mt Pleasant, UT 84647-2222
Phone
(435) 462-2441
Fax
(435) 462-2609
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000371 UT Practitioner - Physician Assistant 1254303944 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1026451206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 1, 2004 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 1, 2004 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
University of Utah Emergency Physicians Past Accepting new patients
University of Utah Emergency Physicians Past Accepting new patients
Strata Medical LLC Past Accepting new patients

Locations

525 N Main St
Ephraim, UT 84627
Phone (435) 283-4075

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

159 N Main St
Manti, UT 84642
Phone (435) 835-3344

1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

4646 W Lake Park Blvd
#3
West Valley City, UT 84120

3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1026451206 UT Primary

Addresses

NPPES NPI Registry

Primary practice location

1100 S Medical Dr
Mt Pleasant, UT 84647-2222

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180
Phone (801) 357-7475

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366480162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180",
            "telephone_number": "801-357-7475",
            "fax_number": "801-357-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MEDICAL DR",
            "city": "MT PLEASANT",
            "state": "UT",
            "postal_code": "846472222",
            "telephone_number": "435-462-2441",
            "fax_number": "435-462-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KENT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "1026451206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, UT

Sources for this page

Verify at the official NPI Registry.