Scott Douglas Lybrook, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

7672 Issued in CO

Practice address

551 Kokopelli Blvd, Suite a
Fruita, CO 81521

Phone

(970) 858-9511

NPI assigned

Apr 19, 2007

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grand Valley Dental Sleep Associates,LLC

  • Dentist
  • Fruita, CO
  • NPI 1154786879
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306063748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 DOGWOOD DR",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "81521",
            "telephone_number": "970-858-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD, SUITE A",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "81521",
            "telephone_number": "970-858-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBROOK",
        "first_name": "SCOTT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lower Valley Hospital Association
• Lower Valley Hospital Association
• Stephen L Ludwig, M.D.
• Caitlin Luke
• Carol Bell Lybrook, D.D.S.
• Megan Lykke, MD
• Eric Makovsky, APN, RN, RXN
• Teresa Manchester
• Alireza Mansoorirad, L.AC
• Laura L Mattingley, RPH

• Dentist in Fruita, CO
• Providers in Fruita, CO by specialty
• Dentist in Colorado

• 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.

Verify at the official NPI Registry.