NPIMap

Organization Active NPI

Virginia G Scott DDS

Doing business as Pardeeville Family Dentistry LLC

  • General Practice Dentistry
  • Pardeeville, WI
National Provider Identifier
1407976830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4505 Issued in WI
Legal business name
VIRGINIA G SCOTT DDS
Doing business as
Pardeeville Family Dentistry LLC
Practice address
403 W. Chestnut St.
Pardeeville, WI 53954
Phone
(608) 429-3175
Fax
(608) 429-3776
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Virginia G Scott, DDSNPI 1649390063
Title
Owner
Phone
(608) 429-3175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4505 WI Primary

Addresses

Primary practice location

403 W. Chestnut St.
Pardeeville, WI 53954

Mailing address

403 W. Chestnut St.
P.O. Box 127
Pardeeville, WI 53954-0127
Phone (608) 429-3175

Other names 1

  • PARDEEVILLE FAMILY DENTISTRY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

403 W Chestnut St
Pardeeville, WI 53954
Phone (608) 429-3175

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407976830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W. CHESTNUT ST.",
            "address_2": "P.O. BOX 127",
            "city": "PARDEEVILLE",
            "state": "WI",
            "postal_code": "539540127",
            "telephone_number": "608-429-3175",
            "fax_number": "608-429-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W. CHESTNUT ST.",
            "city": "PARDEEVILLE",
            "state": "WI",
            "postal_code": "53954",
            "telephone_number": "608-429-3175",
            "fax_number": "608-429-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA G SCOTT DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-429-3175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARDEEVILLE FAMILY DENTISTRY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pardeeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.