NPIMap

Organization Active NPI

Scott a. Niette, D.M.D., General Dentistry

  • Dentist
  • Butler, GA
National Provider Identifier
1508916883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0011708 Issued in GA
Legal business name
SCOTT A. NIETTE, D.M.D., GENERAL DENTISTRY
Practice address
43 South Broad Street
Butler, GA 31006
Phone
(478) 862-5954
Fax
(478) 862-5957
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Albert Niette, D.M.D.NPI 1184774499
Title
Owner Doctor
Phone
(478) 862-5954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0011708 GA Primary

Addresses

Primary practice location

43 South Broad Street
Butler, GA 31006

Mailing address

PO Box 670
Butler, GA 31006-0670
Phone (478) 862-5954

National Provider Directory

National Provider Directory

Locations

43 S Broad St
Butler, GA 31006
Phone (478) 862-5954

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508916883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "BUTLER",
            "state": "GA",
            "postal_code": "310060670",
            "telephone_number": "478-862-5954",
            "fax_number": "478-862-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SOUTH BROAD STREET",
            "city": "BUTLER",
            "state": "GA",
            "postal_code": "31006",
            "telephone_number": "478-862-5954",
            "fax_number": "478-862-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. NIETTE, D.M.D., GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIETTE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER  DOCTOR",
        "authorized_official_telephone_number": "478-862-5954",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "0011708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.