Active NPI
Kassie Scott, M.D.T.
- Dental Therapist
- Sartell, MN
National Provider Identifier
1447618095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT61
- Practice address
- 2251 Connecticut Ave S
Sartell, MN 56377-2486 - Phone
- (320) 253-5824
- NPI assigned
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT61 | MN | Primary |
Addresses
Primary practice location
2251 Connecticut Ave S
Sartell, MN 56377-2486
Mailing address
968 Woodhill Drive
Roseville, MN 55113
Phone (218) 368-6546
Other names 1
- Kassie Scott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT61 | MN | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1447618095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 WOODHILL DRIVE",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "218-368-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 CONNECTICUT AVE S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772486",
"telephone_number": "320-253-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KASSIE",
"credential": "M.D.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT61",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASSIE",
"last_name": "SCOTT",
"credential": "M.D.T.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.