David Leon Scarbrough, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014541 Issued in MO

Practice address

503 N Broadway St
Fairfax, MO 64446-9226

Phone

(660) 686-2566

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205925518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N BROADWAY ST",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469226",
            "telephone_number": "660-686-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N BROADWAY ST",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469226",
            "telephone_number": "660-686-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBROUGH",
        "first_name": "DAVID",
        "middle_name": "LEON",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Osborn, CRNA
• Tracy Lynn Oswald
• Oxy-Med, Inc.
• Megan M Roberts, FNP
• Christina Marie Samaritoni, FNP
• Jay Stanton
• Kelsie Mae Tjelmeland
• Karla Mae Worley, PTA
• Amber Zumbrunnen, DPT

• General Practice Dentistry in Fairfax, MO
• Providers in Fairfax, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.