NPIMap

Organization Active NPI

Jaclyn M. Scroggins, DMD, Ms, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kirkwood, MO
National Provider Identifier
1184039323
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2012041113 Issued in MO
Legal business name
JACLYN M. SCROGGINS, DMD, MS, LLC
Doing business as
Junction Orthodontics
Practice address
209 S Kirkwood Rd
Kirkwood, MO 63122-4305
Phone
(314) 821-1101
Fax
(314) 821-3631
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. Jaclyn Michelle Scroggins, D.M.D., M.S.NPI 1083842660
Title
Owner
Phone
(314) 821-1101

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2012041113 MO Primary

Addresses

Primary practice location

209 S Kirkwood Rd
Kirkwood, MO 63122-4305

Mailing address

209 S Kirkwood Rd
Kirkwood, MO 63122-4305
Phone (314) 821-1101

Other names 1

  • Junction Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

209 S Kirkwood Rd
Kirkwood, MO 63122
Phone (314) 821-1101

Practitioners & affiliated clinicians

Practitioners 2

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": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1184039323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224305",
            "telephone_number": "314-821-1101",
            "fax_number": "314-821-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224305",
            "telephone_number": "314-821-1101",
            "fax_number": "314-821-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN M. SCROGGINS, DMD, MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-821-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2012041113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Junction Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.