Scott Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2884 Issued in AZ

Legal business name

SCOTT DENTISTRY

Practice address

5151 E Broadway Rd
Suite #101
Mesa, AZ 85206-1346

Phone

(480) 924-3446

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bradley D. Scott, DDSNPI 1114987435

Title

Dentist

Phone

(480) 924-3446

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley D. Scott, DDS

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1114987435
  NPD (past) Authorized official

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1023374287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD",
            "address_2": "SUITE #101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-924-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD",
            "address_2": "SUITE #101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-924-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-924-3446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "2884",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark R Scilley, D.D.S.
• Joseph M Scoggin, MD
• Jason E Scoglio, LCSW
• Rosa-Elise Scooler, ND
• Scope Enterprises LLC
• Scott J Phelps DMD PLLC
• Scott Therapy LLC
• Adam Riddall Scott, PA-C
• Bradley D. Scott, DDS
• Camille Scott

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.