Individual provider Active NPI

L Scott Jewkes, D.AC.

  • Acupuncturist
  • Salt Lake City, UT
National Provider Identifier
1649360140
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
100470-1201 Issued in UT
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
100470-1201UTMDAcupuncturist

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.

Verify at the official NPI Registry.