Individual provider Active NPI

Scott V. Wellman, DDS

  • Dentist
  • Saluda, SC
National Provider Identifier
1184748717
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8210 Issued in SC
Practice address
101 R L Sawyer MD Dr
Saluda, SC 29138-9199
Phone
(864) 445-8168
NPI assigned
Mar 19, 2007
Last updated
Dec 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8210 SC Primary
General Practice Dentistry 1223G0001X D6948 AZ

Addresses

Primary practice location

101 R L Sawyer MD Dr
Saluda, SC 29138-9199

Mailing address

305 Tisbury CT
Lexington, SC 29072-7748
Phone (623) 910-0407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20160527001622 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072778554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6948AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saluda Smiles Family Dentistry, P.a. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1184748717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 TISBURY CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727748",
            "telephone_number": "623-910-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 R L SAWYER MD DR",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291389199",
            "telephone_number": "864-445-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "SCOTT",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8210",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saluda, SC

Sources for this page

Verify at the official NPI Registry.