Gary L Scott, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016954 Issued in MI

Practice address

9021 N Rodgers CT SE
Suite E
Caledonia, MI 49316-7649

Phone

(616) 891-0004

Fax

(616) 891-5170

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Dentistry of Caledonia

  • General Practice Dentistry
  • Caledonia, MI
  • NPI 1942333497
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235262684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 N RODGERS CT SE",
            "address_2": "SUITE E",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167649",
            "telephone_number": "616-891-0004",
            "fax_number": "616-891-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 N RODGERS CT SE",
            "address_2": "SUITE E",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167649",
            "telephone_number": "616-891-0004",
            "fax_number": "616-891-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin C Schmottlach, PA-C
• Callan Leigh Schoonveld, NP
• Caleb James Schultz
• Julia Helen Schultz, LMSW
• Samuel Schumaker
• Rory Scott
• Korey Searle, DDS, MS
• Seif Chiropractic PC
• Eric William Seif, D.C.
• Tanya Marie Seif, D.C.

• General Practice Dentistry in Caledonia, MI
• Providers in Caledonia, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.