Active NPI
Scott Pepperman, RD, LD
- Registered Dietitian
- Garden City, KS
National Provider Identifier
1821412255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1856
- Practice address
- 401 E Spruce St
Garden City, KS 67846-5679 - Phone
- (620) 272-2142
- NPI assigned
- Feb 5, 2014
- Last updated
- Feb 5, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1856 | KS | Primary |
Addresses
Primary practice location
401 E Spruce St
Garden City, KS 67846-5679
Mailing address
2214 N Campus Dr
Apt 1
Garden City, KS 67846-3615
Phone (315) 729-6893
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 |
|---|---|---|---|
| 1856 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1821412255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 N CAMPUS DR",
"address_2": "APT 1",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678463615",
"telephone_number": "315-729-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465679",
"telephone_number": "620-272-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPERMAN",
"first_name": "SCOTT",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.