Individual provider Active NPI

David L. Scott Jr., D.D.S.

  • General Practice Dentistry
  • Hyattsville, MD
National Provider Identifier
1508922766
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5683 Issued in MD
Practice address
6495 New Hampshire Ave
B300
Hyattsville, MD 20783-3245
Phone
(301) 439-3331
Fax
(301) 439-5975
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5683 MD Primary

Addresses

Primary practice location

6495 New Hampshire Ave
B300
Hyattsville, MD 20783-3245

Mailing address

6495 New Hampshire Ave
B300
Hyattsville, MD 20783-3245
Phone (301) 439-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20150612000177 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4284945577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5683MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1508922766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE",
            "address_2": "B300",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833245",
            "telephone_number": "301-439-3331",
            "fax_number": "301-439-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE",
            "address_2": "B300",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833245",
            "telephone_number": "301-439-3331",
            "fax_number": "301-439-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DAVID",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "5683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.