Active NPI
Scott Andrew Aduddell, DDS
- Dentist
- Plano, TX
National Provider Identifier
1235740366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36552
- Practice address
- 1300 Medical Ave Ste 101
Plano, TX 75075-7798 - Phone
- (972) 867-5544
- Fax
- (972) 867-3691
- NPI assigned
- Aug 12, 2020
- Last updated
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 36552 | TX | Primary |
Addresses
Primary practice location
1300 Medical Ave Ste 101
Plano, TX 75075-7798
Mailing address
1300 Medical Ave
Plano, TX 75075-7799
Phone (972) 867-5544
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 |
|---|---|---|---|
| 36552 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toothbrothers PLLC. | Single Specialty | 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": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1235740366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MEDICAL AVE",
"city": "PLANO",
"state": "TX",
"postal_code": "750757799",
"telephone_number": "972-867-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MEDICAL AVE STE 101",
"city": "PLANO",
"state": "TX",
"postal_code": "750757798",
"telephone_number": "972-867-5544",
"fax_number": "972-867-3691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADUDDELL",
"first_name": "SCOTT",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "36552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
- Adriana Sullivan, M.D., PLLC
- Aduddell Dentistry PLLC
- Bryan Patrick Aduddell, M.D.
- Kevin Aduddell, DDS
- Patrick L Aduddell, DDS
- Adult Child & Adolescent Psychiatric Services PA
- Advance Wound Care & Hyperbaric Specialists of Texas
- Advanced Behavioral Care LLC
- Advanced Cancer Care
- Advanced Chiropractic Neurology Center, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.