Gregory P Scott, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11202 Issued in FL

Practice address

5110 S Lakeland Dr
Lakeland, FL 33813-2500

Phone

(863) 709-1941

Fax

(863) 709-8091

NPI assigned

Apr 30, 2007

Last updated

Mar 7, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063632214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 S LAKELAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132500",
            "telephone_number": "863-709-1941",
            "fax_number": "863-709-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S LAKELAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132500",
            "telephone_number": "863-709-1941",
            "fax_number": "863-709-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GREGORY",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICIENSE",
            "identifier": "DN11202",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Schwartzman, LAT, ATC
• Steven James Schwarz, PTA
• Avery Schweitzer
• Jodi Ann Scobey, M.S,CCC-SLP
• Sanquinitta Sconiers Johnson
• Jonathan Scott, DMD, MSD
• Michelle Denise Scott
• Pamela Scott, OTR
• Sherri Ann Scott, D.D.S.
• Taylor Christine Scott

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.