NPIMap

Organization Active NPI

Scott W Garrison, D.D.S., M.S.D., P.C.

  • Periodontics
  • Media, PA
National Provider Identifier
1093733883
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS025610L Issued in PA
Legal business name
SCOTT W GARRISON, D.D.S., M.S.D., P.C.
Practice address
422 Manchester Ave
Media, PA 19063-3806
Phone
(610) 566-2217
Fax
(610) 566-7539
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dr. Scott W. Garrison, DDSNPI 1548606643
Title
Owner Doctor
Phone
(610) 566-2217

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DS025610L PA Primary

Addresses

Primary practice location

422 Manchester Ave
Media, PA 19063-3806

Mailing address

422 Manchester Ave
Media, PA 19063-3806
Phone (610) 566-2217

National Provider Directory

National Provider Directory

Locations

422 Manchester Ave
Media, PA 19063
Phone (610) 566-2217

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1093733883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MANCHESTER AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633806",
            "telephone_number": "610-566-2217",
            "fax_number": "610-566-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MANCHESTER AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633806",
            "telephone_number": "610-566-2217",
            "fax_number": "610-566-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W GARRISON, D.D.S., M.S.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "610-566-2217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS025610L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.