Nicholas Scott, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

98725 Issued in ZZ

Practice address

3718 Gruber Rd BLDG H
Fort Liberty, NC 28310-8934

Phone

(910) 396-6925

NPI assigned

Feb 1, 2024

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

State licenses

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1336902451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 GRUBER RD BLDG H",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283108934",
            "telephone_number": "910-396-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 GRUBER RD BLDG H",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283108934",
            "telephone_number": "910-396-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "NICHOLAS",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ZZ",
            "license": "98725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Shane Russell, M.D.
• Nataleigh Ryan
• Andrew Steven Ryser, DDS
• Richkard Saint Louis
• Calvin Schiller
• Patrice Sahvohn Scott, LCSW-C
• Crystal Seboe
• Shikira Sellers, DNP, MSN, RN, CCM
• Tayeshawn Larraine Sembly, DNP, APRN, FNP-BC
• Stephanie Jo Sexton, MD

• General Practice Dentistry in Fort Liberty, NC
• Providers in Fort Liberty, 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 Feb 1, 2024; 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.