Individual provider Active NPI

Steven Harvey Scott, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elk Grove, CA
National Provider Identifier
1376797209
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
45010 Issued in CA
Practice address
3001 Vaux Ave
Suite 1
Elk Grove, CA 95758-7470
Phone
(916) 691-2912
Fax
(916) 691-2913
NPI assigned
Nov 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 45010 CA Primary

Addresses

Primary practice location

3001 Vaux Ave
Suite 1
Elk Grove, CA 95758-7470

Mailing address

3001 Vaux Ave
Suite 1
Elk Grove, CA 95758-7470
Phone (916) 691-2912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150828001673 CA Order and Referring Only - DentistPractitioner - Dentist 7911213426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
45010CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1376797209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 VAUX AVE",
            "address_2": "SUITE 1",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587470",
            "telephone_number": "916-691-2912",
            "fax_number": "916-691-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 VAUX AVE",
            "address_2": "SUITE 1",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587470",
            "telephone_number": "916-691-2912",
            "fax_number": "916-691-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "STEVEN",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.