Scott Timothy Melton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE016073 Issued in MO

Practice address

6000 N Oak Trfy Ste 304
Gladstone, MO 64118-5176

Phone

(816) 455-6300

Fax

(816) 455-4072

NPI assigned

Jan 24, 2012

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

Medicare fee-for-service enrollment

Enrolled in MO

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

State licenses

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1104197060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N OAK TRFY STE 304",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185176",
            "telephone_number": "816-455-6300",
            "fax_number": "816-455-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N OAK TRFY STE 304",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185176",
            "telephone_number": "816-455-6300",
            "fax_number": "816-455-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "SCOTT",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE016073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MC Medical LLC (Walmart Health)
• Kathryn R McCampbell, OD
• Chris M McClenney, DC
• Karen E Mees, LPC
• Melo Enterprises LLC
• Leslie Mendez
• Meritas Health Corporation (Meritas Health Express-Gladstone)
• Natalie Merrill
• Alison Dale Metcalfe
• Emily Jean Metcalfe, MS CCC-SLP

• General Practice Dentistry in Gladstone, MO
• Providers in Gladstone, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.