Nyasha Michelle Scott, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

53105 Issued in CA

Practice address

16465 Sierra Lakes Pkwy Ste 255
Fontana, CA 92336-1264

Phone

(909) 350-0770

Fax

(909) 350-7070

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Nyasha M. Scott DDS Inc

  • Pediatric Dentistry
  • Fontana, CA
  • NPI 1437401098
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1356546410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 255",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361264",
            "telephone_number": "909-350-0770",
            "fax_number": "909-350-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 255",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361264",
            "telephone_number": "909-350-0770",
            "fax_number": "909-350-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "NYASHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.026714",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Schuermann-Berryman, M.D.
• Kevin Schuman, R.T.
• Cheryl Schwartzwald, M.D
• Kim Scott, ED.D
• Nova Marie Scott
• Torrian Tashaun Scott
• William S. Scott, MD
• Aja Latyoa Sealey
• Lauryn Ann Sealock
• Carlos Van Darrell Seals, D.C.

• Pediatric Dentistry in Fontana, CA
• Providers in Fontana, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.