Active NPI
Jonathan Scott, DMD, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lakeland, FL
National Provider Identifier
1477029031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN22026
- Practice address
- 5110 S Lakeland Dr
Lakeland, FL 33813-2500 - Phone
- (863) 709-1941
- NPI assigned
- Oct 22, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN22026 | FL | Primary |
Addresses
Primary practice location
5110 S Lakeland Dr
Lakeland, FL 33813-2500
Mailing address
5110 S Lakeland Dr
Lakeland, FL 33813-2500
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 |
|---|---|---|---|
| DN22026 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1477029031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 S LAKELAND DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 S LAKELAND DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132500",
"telephone_number": "863-709-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DMD, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN22026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.