Raymond Todd Scanlon, D.M.D., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2013039525 Issued in MO

Practice address

3004 S Saint Peters Pkwy
Ste I
Saint Peters, MO 63303-6354

Phone

(636) 441-1020

Fax

(636) 441-4360

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harold John Scanlon DDS PC

  • Dentist
  • Saint Peters, MO
  • NPI 1679545404
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1285792671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 S SAINT PETERS PKWY",
            "address_2": "STE I",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633036354",
            "telephone_number": "636-441-1020",
            "fax_number": "636-441-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 S SAINT PETERS PKWY",
            "address_2": "STE I",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633036354",
            "telephone_number": "636-441-1020",
            "fax_number": "636-441-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "RAYMOND",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.M.D., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2013039525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sandman, DPT
• Sarah a Smith DDS PC
• McKaila A Sauer
• James M Saus, RPH
• Sherree Sayles, DESIGNATED MANAGER
• Katelynn E Scannell, LPC
• Heather R Scarborough, RN
• Jacob Schaake, DC
• Michael P Schachter, MD
• Amy Marie Scherer, PHARMD

• General Practice Dentistry in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.