William Todd Scott, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7759 Issued in IA

Practice address

304 W Lucas St
Creston, IA 50801-3633

Phone

(641) 782-7587

Fax

(641) 782-7587

NPI assigned

Jul 27, 2006

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1457365579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N SUMNER AVE STE B",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011350",
            "telephone_number": "641-782-7587",
            "fax_number": "641-782-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W LUCAS ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508013633",
            "telephone_number": "641-782-7587",
            "fax_number": "641-782-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WILLIAM",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118570",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI (UNITED CONCORDIA)",
            "identifier": "656620",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK/FED ID",
            "identifier": "00302",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danilo Ruiz, MD
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• Rural Family Therapy Services, LLC
• Leslie Linnea Russell, CADC
• Joyce Schildberg, P.T.
• Dana Shiflett, CMA
• Adrianna Cleopatra Shuey, DO
• Guerline Sinsmyr, MD
• Darla K Sobotka, PA-C
• Southern Iowa Resources for Families, Inc

• General Practice Dentistry in Creston, IA
• Providers in Creston, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.

Verify at the official NPI Registry.