Individual provider Active NPI

Scott Paul McClaran, D.M.D.

  • General Practice Dentistry
  • Fort Myers, FL
National Provider Identifier
1053420679
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16994 Issued in FL
Practice address
47 Barkley Cir Ste B
Fort Myers, FL 33907-7734
Phone
(239) 936-0181
Fax
(239) 936-0468
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2010

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 DN16994 FL Primary

Addresses

Primary practice location

47 Barkley Cir Ste B
Fort Myers, FL 33907-7734

Mailing address

47 Barkley Cir Ste B
Fort Myers, FL 33907-7734
Phone (239) 936-0181

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
DN16994FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1053420679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BARKLEY CIR STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077734",
            "telephone_number": "239-936-0181",
            "fax_number": "239-936-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BARKLEY CIR STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077734",
            "telephone_number": "239-936-0181",
            "fax_number": "239-936-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLARAN",
        "first_name": "SCOTT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.