Organization Active NPI

Dr Scott R Vinson DMD a Professional Dental Corporation

  • Dentist
  • Woodland, CA
National Provider Identifier
1245439694
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44274 Issued in CA
Legal business name
DR SCOTT R VINSON DMD A PROFESSIONAL DENTAL CORPORATION
Practice address
1204 Cottonwood St
Woodland, CA 95695-4362
Phone
(530) 662-3994
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. Scott Richard Vinson, DMD
Title
Dentist
Phone
(530) 662-3994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44274 CA Primary

Addresses

Primary practice location

1204 Cottonwood St
Woodland, CA 95695-4362

Mailing address

1204 Cottonwood St
Woodland, CA 95695-4362

National Provider Directory

National Provider Directory

Locations

1204 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3994

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1245439694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 COTTONWOOD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 COTTONWOOD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954362",
            "telephone_number": "530-662-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SCOTT R VINSON DMD A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "530-662-3994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.