NPIMap

Organization Active NPI

Utah Plastic Surgery LLC

Doing business as Utah Facial Plastics

  • Facial Plastic Surgery Physician
  • Layton, UT
National Provider Identifier
1487198321
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
6103240-1205 Issued in UT
Legal business name
UTAH PLASTIC SURGERY LLC
Doing business as
Utah Facial Plastics
Practice address
2255 N 1700 W
#205
Layton, UT 84041-1119
Phone
(801) 776-2220
Fax
(801) 776-2534
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Dr. Scott Kent Thompson, M.D.NPI 1356378095
Title
Sole Owner
Phone
(801) 776-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 6103240-1205 UT Primary

Addresses

Primary practice location

2255 N 1700 W
#205
Layton, UT 84041-1119

Mailing address

2255 N 1700 W
#205
Layton, UT 84041-1119
Phone (801) 776-2220

Other identifiers 1

IdentifierTypeStateIssuer
529599912001MedicaidUT

Other names 1

  • Utah Facial Plastics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170605000659 UT Part B Supplier - Clinic/Group Practice 3577830017 Receives reassigned benefits from 3 practitioners
Practice locations: Layton, UT

National Provider Directory

National Provider Directory

Locations

723 E 12200 S
Ste 200
Draper, UT 84020
Phone (801) 776-2220

2255 N Robins Dr
Layton, UT 84041
Phone (801) 776-2220

2255 N Robins Dr
Ste 200
Layton, UT 84041
Phone (385) 410-4551

2255 N Robins Dr
Ste 205
Layton, UT 84041
Phone (801) 776-2220

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1487198321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N 1700 W",
            "address_2": "#205",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411119",
            "telephone_number": "801-776-2220",
            "fax_number": "801-776-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N 1700 W",
            "address_2": "#205",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411119",
            "telephone_number": "801-776-2220",
            "fax_number": "801-776-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "801-776-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "UT",
            "license": "6103240-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529599912001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Facial Plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.