Individual provider Active NPI

Scott Belozer, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Shreveport, LA
National Provider Identifier
1497318596
Registry record updated Jul 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S-992 Issued in LA
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

Updated by the provider on Jul 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
36745TXMDPharmacist
S-992LAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kreit Dental PLLC PastSince Nov 20, 2022 Accepting new patients
Nader Kreit DDS PLLC General Practice PastSince Jan 17, 2022 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.

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.

Verify at the official NPI Registry.