Active NPI
Scott Walton Dowlearn, D.D.S.
- General Practice Dentistry
- Athens, TX
National Provider Identifier
1265566947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22234
- Practice address
- 710 Lucas Dr
Athens, TX 75751-3434 - Phone
- (903) 675-4124
- Fax
- (903) 677-2852
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22234 | TX | Primary |
Addresses
Primary practice location
710 Lucas Dr
Athens, TX 75751-3434
Mailing address
PO Box 789
Athens, TX 75751-0789
Phone (903) 675-4124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150211001503 | TX | Order and Referring Only - Oral Surgery | 4880919927 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22234 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265566947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 789",
"city": "ATHENS",
"state": "TX",
"postal_code": "757510789",
"telephone_number": "903-675-4124",
"fax_number": "903-677-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LUCAS DR",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513434",
"telephone_number": "903-675-4124",
"fax_number": "903-677-2852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWLEARN",
"first_name": "SCOTT",
"middle_name": "WALTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
- Hunter Christian Davis
- Latoria D Davis, FNP-C
- DCS Medical PA
- Heather Diann Derosa-Cain
- Robert Bryan Dorman, MD
- Shannon Drohn
- East Texas Anesthesia Associates, PA
- East Texas Community Clinic, Inc.
- East Texas Community Clinic, Inc. (East Texas Community Clinic Pharmacy)
- East Texas Eye Care Associates, PLLC (The Optical Shop)
Sources for this page
- 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.