Active NPI
L Scott Jewkes, D.AC.
- Acupuncturist
- Salt Lake City, UT
National Provider Identifier
1649360140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 100470-1201
- Practice address
- 4578 Highland Dr
Ste. 100
Salt Lake City, UT 84117-4243 - Phone
- (801) 272-4260
- Fax
- (801) 272-2827
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 100470-1201 | UT | Primary |
Addresses
Primary practice location
4578 Highland Dr
Ste. 100
Salt Lake City, UT 84117-4243
Mailing address
1462 Tumbleweed Way
Draper, UT 84020-7682
Phone (801) 560-1748
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100470-1201 | UT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649360140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 TUMBLEWEED WAY",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207682",
"telephone_number": "801-560-1748",
"fax_number": "801-272-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4578 HIGHLAND DR",
"address_2": "STE. 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841174243",
"telephone_number": "801-272-4260",
"fax_number": "801-272-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWKES",
"first_name": "L",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "UT",
"license": "100470-1201",
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.