Organization Active NPI

Scott C Decker, DMD, PLLC

  • Dental Clinic/Center
  • Enumclaw, WA
National Provider Identifier
1083400154
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SCOTT C DECKER, DMD, PLLC
Practice address
1120 Cole St
Enumclaw, WA 98022-2637
Phone
(360) 825-3191
Fax
(360) 802-4785
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Scott C Decker, DMDNPI 1326126251
Title
Owner/Dentist
Phone
(360) 825-3191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1120 Cole St
Enumclaw, WA 98022-2637

Mailing address

1120 Cole St
Enumclaw, WA 98022-2637
Phone (360) 825-3191

Other names 2

  • DECKER DENTAL Doing business as
  • Enumclaw Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1120 Cole St
Enumclaw, WA 98022
Phone (360) 825-3191

Practitioners & affiliated clinicians

Practitioners 1

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": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1083400154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222637",
            "telephone_number": "360-825-3191",
            "fax_number": "360-802-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222637",
            "telephone_number": "360-825-3191",
            "fax_number": "360-802-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C DECKER, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "360-825-3191",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DECKER DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enumclaw Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.