Scott Kelsey McGavin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

144913-9922 Issued in UT

Practice address

6243 S Redwood Rd
#220
Taylorsville, UT 84123-6411

Phone

(801) 293-8740

Fax

(801) 293-8589

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871675371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 S REDWOOD RD",
            "address_2": "#220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236411",
            "telephone_number": "801-293-8740",
            "fax_number": "801-293-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 S REDWOOD RD",
            "address_2": "#220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236411",
            "telephone_number": "801-293-8740",
            "fax_number": "801-293-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAVIN",
        "first_name": "SCOTT",
        "middle_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144913-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin McDonald
• Hayley McDonald
• Raelynn McDougal, APRN
• Trenton Paul McElyea
• Abby McFarland
• Holley McGinnis
• David McGowan, D.D.S.
• Meghan McGregor
• Erik Ryan McHenry
• Isabelle McJunkin

• General Practice Dentistry in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.