Active NPI
Scott Albert Niette, D.M.D.
- Dentist
- Butler, GA
National Provider Identifier
1184774499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 011708
- Practice address
- 43 South Broad Street
Butler, GA 31006 - Phone
- (478) 862-5954
- Fax
- (478) 862-5957
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 011708 | GA | Primary |
Addresses
Primary practice location
43 South Broad Street
Butler, GA 31006
Mailing address
PO Box 670
Butler, GA 31006-0670
Phone (478) 862-5954
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 |
|---|---|---|---|
| 011708 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott a. Niette, D.M.D., General Dentistry | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Butler, GA
- NPI 1508916883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184774499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "BUTLER",
"state": "GA",
"postal_code": "310060670",
"telephone_number": "478-862-5954",
"fax_number": "478-862-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 SOUTH BROAD STREET",
"city": "BUTLER",
"state": "GA",
"postal_code": "31006",
"telephone_number": "478-862-5954",
"fax_number": "478-862-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIETTE",
"first_name": "SCOTT",
"middle_name": "ALBERT",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "011708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.