Edward Ray Scott II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8961 Issued in NC

Practice address

508 10TH St NW Ste a
Conover, NC 28613-2339

Phone

(828) 695-8150

NPI assigned

Jun 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1467773390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EASTON MILL RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265080917",
            "telephone_number": "304-767-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 10TH ST NW STE A",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132339",
            "telephone_number": "828-695-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "EDWARD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Marie Rhymer
• Richard A Riffle, CP
• Irving Rojo
• Kevin M Rutter, MS, LMFT
• Samantha Aiezza DMD PLLC
• Jeanine Theresa Scott, P.T.
• Karen Hartman Self, FNP-C
• Paris A. R. Sellers, PA-C
• Seniorcare of Conover LLC (Heritage Care of Conover)
• Charlotte Frye Sharpe, M.A., MFT ASSOCIATE

• General Practice Dentistry in Conover, NC
• Providers in Conover, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.