Individual provider Active NPI

Thomas Scroggs

  • Dentist
  • Cedar Rapids, IA
National Provider Identifier
1013693357
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-10092 Issued in IA
Practice address
203 29TH St NE
Cedar Rapids, IA 52402-4862
Phone
(319) 364-3221
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DDS-10092 IA Primary

Addresses

Primary practice location

203 29TH St NE
Cedar Rapids, IA 52402-4862

Mailing address

113 Sand LN NW
Cedar Rapids, IA 52405-3113
Phone (319) 423-1350

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

LicenseStateTypeSpecialty
DDS-10092IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Rapids Family Dental Center PC Single Specialty CurrentSince Oct 12, 2025 Accepting new patients

Locations

203 29th St NE
Cedar Rapids, IA 52402
Phone (319) 364-0472

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1013693357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SAND LN NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053113",
            "telephone_number": "319-423-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 29TH ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024862",
            "telephone_number": "319-364-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGS",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-10092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.