Active NPI
Maegan Jo Scott
- General Practice Dentistry
- Pella, IA
National Provider Identifier
1083920490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08760
- Practice address
- 2300 Washington St
Pella, IA 50219-7575 - Phone
- (641) 628-2671
- NPI assigned
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08760 | IA | Primary |
| Dentist | 122300000X | 08760 | IA |
Addresses
Primary practice location
2300 Washington St
Pella, IA 50219-7575
Mailing address
2300 Washington St
Pella, IA 50219-7575
Phone (641) 628-2671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150707002654 | IA | Order and Referring Only - Oral Surgery | 6406168236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08760 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1083920490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WASHINGTON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502197575",
"telephone_number": "641-628-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WASHINGTON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502197575",
"telephone_number": "641-628-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MAEGAN",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08760",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pella, IA
- Rebecca Johanna Schmitt, D.D.S.
- Gene Joseph Schmitz, PHYSICAL THERAPIST
- Dirk John Scholten, M.D.
- Jacob Kent Schubert, M.ED, ATC, LAT
- Sherrie Scorpil, PHARMD
- Vicki Swanson Self, PHYSICAL THERAPIST
- Jennifer Kristine Sheffield, PA-C
- Joel Dean Shields, RPH
- Erica Lynn Silbernagel, DO
- Oscar Silva, MS, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.