Scotty Allen Devine, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS4500 Issued in TN

Practice address

206 Mayes Ave
Sweetwater, TN 37874-2620

Phone

(423) 337-5045

Fax

(423) 337-5044

NPI assigned

Mar 18, 2007

Last updated

Nov 14, 2023By 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

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• Moore Smiles PLLC

  • General Practice Dentistry
  • Sweetwater, TN
  • NPI 1598461089
  NPD

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1497879365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378740148",
            "telephone_number": "423-337-6681",
            "fax_number": "423-337-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MAYES AVE",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378742620",
            "telephone_number": "423-337-5045",
            "fax_number": "423-337-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "SCOTTY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Cooper
• David J Creutzinger, M.D.
• Steven Craig Crippen, D.D.S.
• Paul David Dacus, PHARM D
• Douglas Wayne Devaney
• Drayer Physical Therapy Institute of Ky, PLLC (Drayer Physical Therapy Institute)
• Philip L Edgemon, COTA
• Karen Lee Eller, FNP-C
• Thomas Stephen Evans, M.D.
• Teresa Suzette Fain, COTA/L

• General Practice Dentistry in Sweetwater, TN
• Providers in Sweetwater, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.