Organization Active NPI

Scott Humpherys, DPM Inc

  • Podiatrist
  • Provo, UT
National Provider Identifier
1750794533
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
326796-0501 Issued in UT
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

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Scott Brett Humpherys, DPMNPI 1275647596
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
528292703007MedicaidUT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.