Corey Scott, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13014 Issued in NC

Practice address

2290 US Highway 70 SE # 967a
Hickory, NC 28602-5164

Phone

(864) 617-9016

NPI assigned

Aug 21, 2020

Last updated

Dec 19, 2023By 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 3

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1285246058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 MOSTELLER ESTATE AVE SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023409",
            "telephone_number": "864-617-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 US HIGHWAY 70 SE # 967A",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025164",
            "telephone_number": "864-617-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "967 Lorimel Rd Apt A",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "217844918",
            "country_code": "US",
            "telephone_number": "864-617-9016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17721",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Schultz, MD
• Kirsten M. Schutte, MD
• Jeanne M Schwarting, R.N., B.S.N.
• David Allen Schwenk, PA-C
• Nancy Jean Sciara, OGNP
• Larisa R Scott, SLP
• Linda L Scott, NP
• Mary Frances Vassuar Sears, PAC
• Melody Cardwell Secrest, CRNA
• Marissa See, RN, BSN

• General Practice Dentistry in Hickory, NC
• Providers in Hickory, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.