Kevin R Scott, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39564 Issued in CA

Practice address

3275 Aptos Rancho Rd
Suite C
Aptos, CA 95003-3983

Phone

(831) 688-1997

Fax

(831) 688-0522

NPI assigned

Dec 6, 2006

Sex

Male

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

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1346309259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 APTOS RANCHO RD",
            "address_2": "SUITE C",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033983",
            "telephone_number": "831-688-1997",
            "fax_number": "831-688-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 APTOS RANCHO RD",
            "address_2": "SUITE C",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033983",
            "telephone_number": "831-688-1997",
            "fax_number": "831-688-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald T. Saposnek, PH.D.
• Amanda Savasky
• Alana Schoen
• Eve Jasmine Schulman, PA
• Scott P Daly Santa Cruz Optometric (Aptos Optometric Center)
• Melissa Ann Scott
• Morgan Semenchuk, MPT
• Hina Shaikh, PT
• Grant Shedd
• Jean Shimizu

• General Practice Dentistry in Aptos, CA
• Providers in Aptos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.