Active NPI
Scott Riley Dexter, D.D.S.
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1306016902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55242
- Practice address
- 226 Selby Ranch Rd
Apt. # 8
Sacramento, CA 95864-5829 - Phone
- (909) 800-3818
- NPI assigned
- Mar 10, 2008
- 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 | 55242 | CA | Primary |
Addresses
Primary practice location
226 Selby Ranch Rd
Apt. # 8
Sacramento, CA 95864-5829
Mailing address
309 Rialto CT
El Dorado Hills, CA 95762-5232
Phone (909) 800-3818
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 |
|---|---|---|---|
| 55242 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1306016902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 RIALTO CT",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957625232",
"telephone_number": "909-800-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 SELBY RANCH RD",
"address_2": "APT. # 8",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958645829",
"telephone_number": "909-800-3818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEXTER",
"first_name": "SCOTT",
"middle_name": "RILEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.