Active NPI
Alex William Scott, DMD
- Dentist
- Minnetonka, MN
National Provider Identifier
1003308388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14628
- Practice address
- 5509 Eden Prairie Road
Suite a
Minnetonka, MN 55345 - Phone
- (952) 938-6038
- Fax
- (952) 935-9175
- NPI assigned
- Jun 3, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D010034 | AZ | |
| Dentist | 122300000X | D14628 | MN | Primary |
Addresses
Primary practice location
5509 Eden Prairie Road
Suite a
Minnetonka, MN 55345
Mailing address
5509 Eden Prairie Road
Suite a
Minnetonka, MN 55345
Phone (952) 938-6038
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 |
|---|---|---|---|
| D010034 | AZ | MD | Dentist |
| D14628 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex W Scott DMD PLLC | Dentist | Current | Accepting new patients |
| Biltmore Cosmetic Dentistry LLC | Past | Accepting new patients | |
| Alex W Scott DMD PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Minnetonka, MN
- NPI 1679142673
-
- Dental Clinic/Center
- Phoenix, AZ
- NPI 1861044596
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1023680980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1003308388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 EDEN PRAIRIE ROAD",
"address_2": "SUITE A",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-938-6038",
"fax_number": "952-935-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 EDEN PRAIRIE ROAD",
"address_2": "SUITE A",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-938-6038",
"fax_number": "952-935-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ALEX",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-03",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010034",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.