Scott Guthrie, DMD

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

6001715-15 Issued in WI

Practice address

2921 Landmark PL Ste 235
Madison, WI 53713-4248

Phone

(608) 285-2853

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

State licenses

Practice roles

Locations

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.

• Midwest Jaw Relief SC

  • Orofacial Pain Dentistry
  • Madison, WI
  • NPI 1184512386
  NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1063253334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL STE 235",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134248",
            "telephone_number": "608-285-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL STE 235",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134248",
            "telephone_number": "608-285-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 E Fountain St",
            "address_purpose": "LOCATION",
            "city": "Dodgeville",
            "state": "WI",
            "postal_code": "535331749",
            "country_code": "US",
            "telephone_number": "608-935-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-08-18",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001715",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10986",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "WI",
            "license": "6001715-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Gustafson, BA
• Bree Gustavson
• Mark Gustavson, D.D.S.
• Kaitlin A Guston, PHD
• Elizabethwin S. Gutgesell, NP
• Belinda Gutierrez, PH.D.
• Elena Gutierrez, M.D.
• Gilberto Gutierrez, SERVICE FACILITATOR
• Jessica Marie Gutierrez, LCSW, CSAC, ICS
• Maria Victoria Gutierrez, LMT

• Orofacial Pain Dentistry in Madison, WI
• Providers in Madison, WI by specialty
• Orofacial Pain Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.