Active NPI
Scott Humpherys, DPM Inc
- Podiatrist
- Provo, UT
National Provider Identifier
1750794533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 326796-0501
- Legal business name
- SCOTT HUMPHERYS, DPM INC
- Practice address
- 1355 N. University Ave
#125
Provo, UT 84604-2722 - Phone
- (801) 225-3095
- Fax
- (801) 377-2426
- NPI assigned
- Jun 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Brett Humpherys, DPM
- Title
- President
- Phone
- (801) 225-3095
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 326796-0501 | UT | Primary |
Addresses
Primary practice location
1355 N. University Ave
#125
Provo, UT 84604-2722
Mailing address
368 N 780 E
Lindon, UT 84042-2519
Phone (801) 225-3095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528292703007 | Medicaid | UT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Provo, UT
- NPI 1275647596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402272000000",
"number": "1750794533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 N 780 E",
"city": "LINDON",
"state": "UT",
"postal_code": "840422519",
"telephone_number": "801-225-3095",
"fax_number": "801-377-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 N. UNIVERSITY AVE",
"address_2": "#125",
"city": "PROVO",
"state": "UT",
"postal_code": "846042722",
"telephone_number": "801-225-3095",
"fax_number": "801-377-2426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT HUMPHERYS, DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A",
"authorized_official_last_name": "HUMPHERYS",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "BRETT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-225-3095",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "UT",
"license": "326796-0501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528292703007",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.