NPIMap

Organization Active NPI

Dr. Terry Scotese

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mentor, OH
National Provider Identifier
1144379546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30-01-6248 Issued in OH
Legal business name
DR. TERRY SCOTESE
Practice address
9179 Mentor Ave Unit K
Mentor, OH 44060-6398
Phone
(440) 205-1222
Fax
(440) 974-5474
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Terry C. Scotese, D.D.S.,M.S.D.
Title
Owner
Phone
(440) 205-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30-01-6248 OH Primary

Addresses

Primary practice location

9179 Mentor Ave Unit K
Mentor, OH 44060-6398

Mailing address

9179 Mentor Ave Unit K
Mentor, OH 44060-6398
Phone (440) 205-1222

Other identifiers 1

IdentifierTypeStateIssuer
30-01-6248OtherOHDENTIST LICENSE

Other names 1

  • Dr. Terry Scotese Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dr Terry Scotese2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9179 Mentor Ave
Ste K
Mentor, OH 44060
Phone (440) 205-1222

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144379546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 MENTOR AVE UNIT K",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606398",
            "telephone_number": "440-205-1222",
            "fax_number": "440-974-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 MENTOR AVE UNIT K",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606398",
            "telephone_number": "440-205-1222",
            "fax_number": "440-974-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TERRY SCOTESE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTESE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-205-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-01-6248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE",
            "identifier": "30-01-6248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Terry Scotese",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.