Individual provider Active NPI

Tamasha Triplett Scott, DDS

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1043620263
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401414391 Issued in VA
Practice address
11670 Sudley Manor Dr
Suite 290
Manassas, VA 20109-2842
Phone
(571) 359-6424
Fax
(571) 359-6579
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401414391 VA Primary

Addresses

Primary practice location

11670 Sudley Manor Dr
Suite 290
Manassas, VA 20109-2842

Mailing address

11670 Sudley Manor Dr
Suite 290
Manassas, VA 20109-2842
Phone (571) 359-6424

Other names 1

  • Tamasha N Triplett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20170322000948 VA Order and Referring Only - DentistPractitioner - Dentist 2668757253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Savage & Reske LTD General Practice Past Accepting new patients
Dental Professionals of Virginia, P.C General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1043620263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 SUDLEY MANOR DR",
            "address_2": "SUITE 290",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092842",
            "telephone_number": "571-359-6424",
            "fax_number": "571-359-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 SUDLEY MANOR DR",
            "address_2": "SUITE 290",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092842",
            "telephone_number": "571-359-6424",
            "fax_number": "571-359-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TAMASHA",
        "middle_name": "TRIPLETT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMASHA",
            "last_name": "TRIPLETT",
            "middle_name": "N",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.