Organization Active NPI

Scott L Worley DDS LLC

  • Pediatric Dentistry
  • Lake Charles, LA
National Provider Identifier
1073391066
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SCOTT L WORLEY DDS LLC
Practice address
4600 Lake St
Lake Charles, LA 70605-5416
Phone
(337) 474-0240
Fax
(337) 474-1901
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Daphne C Lanclos
Title
Office Manager
Phone
(337) 474-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4600 Lake St
Lake Charles, LA 70605-5416

Mailing address

4600 Lake St
Lake Charles, LA 70605-5416
Phone (337) 474-0240

National Provider Directory

National Provider Directory

Locations

4600 Lake St
Lake Charles, LA 70605
Phone (337) 474-0240

156 W Main St
Thibodaux, LA 70301
Phone (985) 226-1076

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1073391066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055416",
            "telephone_number": "337-474-0240",
            "fax_number": "337-474-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055416",
            "telephone_number": "337-474-0240",
            "fax_number": "337-474-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L WORLEY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "LANCLOS",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-474-0240"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.