Scott Gene Clinton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19151 Issued in TX

Practice address

125 Park Place Blvd
Waxahachie, TX 75165-9104

Phone

(972) 937-4370

Fax

(972) 937-4369

NPI assigned

May 10, 2007

Last updated

Nov 22, 2010By 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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.clinton.p1@direct.hopehealthtx.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waxahachie Family Dentistry, LLP

  • Customized Equipment (DME)
  • Waxahachie, TX
  • NPI 1801256797

  General Practice

  NPD Authorized official
• Dental Sleep Medicine of North Texas, PA

  • General Practice Dentistry
  • Waxahachie, TX
  • NPI 1376009233
  Authorized official Same address or phone

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1477767903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARK PLACE BLVD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751659104",
            "telephone_number": "972-937-4370",
            "fax_number": "972-937-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARK PLACE BLVD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751659104",
            "telephone_number": "972-937-4370",
            "fax_number": "972-937-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "SCOTT",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL PRACTICE LICENSE",
            "identifier": "19151",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asel Chymyrbaeva, BCBA
• Cierra Boyce Therapy Services, PLLC
• Clarity Counseling Center of Ellis County Inc
• Sarah Clark
• Clinica Hispana Salud Y Vida Inc
• Aaron Cloud, LPA
• Cobalt Blue Anesthesia LLC
• Cierra Marie Cole
• Marlon Coleman
• Justina Mhurai Collum

• General Practice Dentistry in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.