Scott Robert Jett, D.M.D., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

48124 Issued in CA

Practice address

6495 N Palm Ave Ste 105
Fresno, CA 93704-1063

Phone

(559) 436-8101

Fax

(559) 436-0958

NPI assigned

Oct 11, 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 CA

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

Credentials

Master of Science

State licenses

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.

• Scott R Jett DMD Ms Inc

  dba Advanced Perio Endo Experts

  • Dental Clinic/Center
  • Fresno, CA
  • NPI 1669083093
  Authorized official Same address or phone

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043308364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N COLLEGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283519",
            "telephone_number": "559-237-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 N PALM AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041063",
            "telephone_number": "559-436-8101",
            "fax_number": "559-436-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "48124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry L Lanier DDS Inc (kids Dental Kare)
• Jerry L Lanier DDS, Inc (Kids 2 Dentist Dental Group)
• Margie Lynn Jessen
• Melissa Anne Jethanandani, NP
• Jethro Medical, LLC
• Alesha Juneallison Jex
• JF Urgent Care Medical Clinics Inc
• JF Urgent Care Medical Clinics Inc
• Karen Jhutti
• Tiffany Ji, PHARM. D.

• Periodontics in Fresno, CA
• Providers in Fresno, CA by specialty
• Periodontics in California

• 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.