Individual provider Active NPI

Scott William Dewitt, AU.D.

  • Audiologist
  • Centennial, CO
National Provider Identifier
1851774251
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
762 Issued in CO
Practice address
9137 E Mineral Cir Ste 260
Centennial, CO 80112
Phone
(720) 476-7132
Fax
(720) 476-7167
NPI assigned
Jul 2, 2015
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 762 CO Primary

Addresses

Primary practice location

9137 E Mineral Cir Ste 260
Centennial, CO 80112

Mailing address

9137 E Mineral Cir Ste 260
Centennial, CO 80112-3423
Phone (720) 476-7132

Other practice location 1

1399 S Havana St
Ste 102
Aurora, CO 80012-4020
Phone (303) 337-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008053 CO Practitioner - Qualified Audiologist 2466766316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Audiology Centennial LLCGroup PAC ID 3870826647, 3 clinicians

Practice addresses (Care Compare)

9137 E Mineral Cir
Suite 260
Centennial, CO 80112-3423
Phone (720) 476-7132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Audiology Centennial LLC CurrentSince Jan 9, 2019 Accepting new patients

Locations

9137 E Mineral Cir
Ste 260
Centennial, CO 80112
Phone (303) 708-8698

9137 E Mineral Cir
Ste 360
Centennial, CO 80112
Phone (720) 670-9046

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1851774251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123423",
            "telephone_number": "720-476-7132",
            "fax_number": "720-476-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "720-476-7132",
            "fax_number": "720-476-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1399 S Havana St",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124020",
            "country_code": "US",
            "telephone_number": "303-337-9699",
            "fax_number": "303-337-9546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.