Active NPI
Nicole Scott, DDS
- Pediatric Dentistry
- McKinney, TX
National Provider Identifier
1184373979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 41354
- Practice address
- 3301 Eldorado Pkwy
McKinney, TX 75070-4204 - Phone
- (972) 542-7500
- NPI assigned
- Mar 21, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 41354 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 41354 | TX | |
| Pediatric Dentistry | 1223P0221X | LL918 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3301 Eldorado Pkwy
McKinney, TX 75070-4204
Mailing address
12165 Elm St
Princess Anne, MD 21853-1358
Phone (410) 651-5151
Other practice location 1
12165 Elm St
Princess Anne, MD 21853-1358
Phone (410) 651-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119591300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL918 | MD | MD | Pediatric Dentist |
Interoperability endpoints
- scott.nicole.1@3167.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1184373979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12165 ELM ST",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218531358",
"telephone_number": "410-651-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 ELDORADO PKWY",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750704204",
"telephone_number": "972-542-7500"
}
],
"practiceLocations": [
{
"address_1": "12165 Elm St",
"address_purpose": "LOCATION",
"city": "Princess Anne",
"state": "MD",
"postal_code": "218531358",
"country_code": "US",
"telephone_number": "410-651-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "NICOLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "41354",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "41354",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "LL918",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.