Leslie Michelle Scott, RDH OMT

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020013414 Issued in IL

Practice address

2740 Bear Paw Dr
Portage, IN 46368-2885

Phone

(219) 617-0487

NPI assigned

Oct 6, 2025

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1336013911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 BEAR PAW DR",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682885",
            "telephone_number": "219-617-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 BEAR PAW DR",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682885",
            "telephone_number": "219-617-0487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Washington St Ste 1917",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021808",
            "country_code": "US",
            "telephone_number": "708-323-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LESLIE",
        "middle_name": "MICHELLE",
        "credential": "RDH OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020013414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Portage, IN
• Providers in Portage, IN by specialty
• Dental Hygienist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.