Scottie Reagan II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11994 Issued in TN

Practice address

245 Midway Medical Park
Bristol, TN 37620-1653

Phone

(423) 652-0260

NPI assigned

Jul 21, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15459/brand/1/csg/1/fhir/r4

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.

• Reagan Gentle Dental, PLLC

  • Dental Clinic/Center
  • Jefferson City, TN
  • NPI 1073358362
  NPD Authorized official
• Healing Hands Health Center Inc

  • Multi-Specialty Clinic/Center
  • Bristol, TN
  • NPI 1588304844
  NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023743119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MIDWAY MEDICAL PARK",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201653",
            "telephone_number": "423-652-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MIDWAY MEDICAL PARK",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201653",
            "telephone_number": "423-652-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "SCOTTIE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Prescott Ransom
• Cynthia Jo Ratliff, D.M.D.
• Kelsee Rawson, BCABA
• Mary Barbara Raykowitz, LPC
• Ready Set Grow Pediatric Therapy LLC
• Donald Smith Redford, D.D.S.
• Annette Sandra Reece, LBA, BCBA
• Renaissance Surgery Center, LLC
• Michael Wayne Rentz, MD
• Inger L Reynolds, CRNA

• General Practice Dentistry in Bristol, TN
• Providers in Bristol, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.