Active NPI
Scott David Newlin, D.M.D.,M.S.,P.C
- Endodontics
- Saint Peters, MO
National Provider Identifier
1437229739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE015338
- Practice address
- 303 Jungermann Rd
Saint Peters, MO 63376-5366 - Phone
- (636) 928-3552
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE015338 | MO | Primary |
Addresses
Primary practice location
303 Jungermann Rd
Saint Peters, MO 63376-5366
Mailing address
544 Malinmor Dr
Weldon Spring, MO 63304-0585
Phone (636) 922-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190128001615 | MO | Order and Referring Only - Dentist | 8527305697 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE015338 | MO | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437229739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 MALINMOR DR",
"city": "WELDON SPRING",
"state": "MO",
"postal_code": "633040585",
"telephone_number": "636-922-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765366",
"telephone_number": "636-928-3552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWLIN",
"first_name": "SCOTT",
"middle_name": "DAVID",
"credential": "D.M.D.,M.S.,P.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MO",
"license": "DE015338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
- Kristina M Nelson, AGNP
- Nephrology Medical Associates of Georgia LLC
- Neurosurgical Associates of St Louis LLC
- Never Alone Health Services LLC
- New Day Psychiatric Services
- Abigail Newsom, D.C.
- Natalie Colleen Newton, M.EDU., LPC
- Next Step Foot and Ankle Centers, Inc
- Next Step Foot and Ankle Centers, Inc.
- Amy L Ney-Carder, M.A., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.