Active NPI
Scott William Brown, DDS
- Dentist
- Ft Leonard Wood, MO
National Provider Identifier
1205897899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1853
- Practice address
- Dept of the Army, Dental Activity
1724 Nebraska Ave, BLDG 1608
Ft Leonard Wood, MO 65473-0001 - Phone
- (573) 596-0388
- Fax
- (573) 596-0410
- NPI assigned
- Mar 31, 2006
- 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 | 1853 | ND | Primary |
Addresses
Primary practice location
Dept of the Army, Dental Activity
1724 Nebraska Ave, BLDG 1608
Ft Leonard Wood, MO 65473-0001
Mailing address
Dept of the Army, Dental Activity
1724 Nebraska Ave, BLDG 1608
Fort Leonard Wood, MO 65473-0001
Phone (573) 596-0388
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 |
|---|---|---|---|
| 1853 | ND | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1205897899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT OF THE ARMY, DENTAL ACTIVITY",
"address_2": "1724 NEBRASKA AVE, BLDG 1608",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654730001",
"telephone_number": "573-596-0388",
"fax_number": "573-596-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF THE ARMY, DENTAL ACTIVITY",
"address_2": "1724 NEBRASKA AVE, BLDG 1608",
"city": "FT LEONARD WOOD",
"state": "MO",
"postal_code": "654730001",
"telephone_number": "573-596-0388",
"fax_number": "573-596-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SCOTT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "1853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.