Active NPI
Scott Belozer, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Shreveport, LA
National Provider Identifier
1497318596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- S-992
- Practice address
- 2120 Bert Kouns Industrial Loop Ste D
Shreveport, LA 71118-3351 - Phone
- (318) 687-9800
- Fax
- (318) 687-4752
- NPI assigned
- Apr 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | S-992 | LA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 36745 | TX |
Addresses
Primary practice location
2120 Bert Kouns Industrial Loop Ste D
Shreveport, LA 71118-3351
Mailing address
2120 Bert Kouns Industrial Loop Ste D
Shreveport, LA 71118-3351
Phone (318) 687-9800
Other practice location 1
400 E Vaughn Ave
Ruston, LA 71270-5951
Phone (318) 251-1111
Other practice location 2
1525 Doctors Dr
Bossier City, LA 71111-3321
Phone (318) 747-5791
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 |
|---|---|---|---|
| 36745 | TX | MD | Pharmacist |
| S-992 | LA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kreit Dental PLLC | Past | Accepting new patients | |
| Nader Kreit DDS PLLC | General Practice | Past | Accepting new patients |
| David K Clark DDS - Oral Surgery Associates-Apdc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Shreveport, LA
- NPI 1497054613
-
- Dental Clinic/Center
- Livingston, TX
- NPI 1588372098
-
- General Practice Dentistry
- Livingston, TX
- NPI 1235412743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783209600000",
"number": "1497318596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 BERT KOUNS INDUSTRIAL LOOP STE D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183351",
"telephone_number": "318-687-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 BERT KOUNS INDUSTRIAL LOOP STE D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183351",
"telephone_number": "318-687-9800",
"fax_number": "318-687-4752"
}
],
"practiceLocations": [
{
"address_1": "400 E Vaughn Ave",
"address_purpose": "LOCATION",
"city": "Ruston",
"state": "LA",
"postal_code": "712705951",
"country_code": "US",
"telephone_number": "318-251-1111",
"fax_number": "318-251-1666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1525 Doctors Dr",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711113321",
"country_code": "US",
"telephone_number": "318-747-5791",
"fax_number": "318-747-5808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELOZER",
"first_name": "SCOTT",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-16",
"last_updated": "2026-07-05",
"certification_date": "2026-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "LA",
"license": "S-992",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "36745",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.