Active NPI
Arthur Roddy Scarbrough, D.M.D.
- General Practice Dentistry
- Richton, MS
National Provider Identifier
1508966375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2572-90
- Practice address
- 205 Bay Ave
Richton, MS 39476-0547 - Phone
- (601) 788-9374
- Fax
- (601) 788-9374
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2572-90 | MS | Primary |
| General Practice Dentistry | 1223G0001X | 005202 | TN |
Addresses
Primary practice location
205 Bay Ave
Richton, MS 39476-0547
Mailing address
PO Box 547
205 Bay Ave
Richton, MS 39476-0547
Phone (601) 788-9374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060420 | Medicaid | MS |
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 |
|---|---|---|---|
| 2572-90 | MS | MD | General Practice Dentistry |
| 005202 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508966375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "205 BAY AVE",
"city": "RICHTON",
"state": "MS",
"postal_code": "394760547",
"telephone_number": "601-788-9374",
"fax_number": "601-788-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BAY AVE",
"city": "RICHTON",
"state": "MS",
"postal_code": "394760547",
"telephone_number": "601-788-9374",
"fax_number": "601-788-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBROUGH",
"first_name": "ARTHUR",
"middle_name": "RODDY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "2572-90",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "005202",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0060420",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richton, MS
- Perry Community Care Center LLC
- Ivry Rayborn, PCIDDT
- RH Emergency Medicine of Perry County LLC
- RH Hospitalist Medicine of Perry County LLC
- Leah Burch Rock, MD
- Jillian Christina Smith
- Stricklands Cash & Save Discount Pharmacy Inc
- Angela Thompson, LMSW
- Tri-Vista Rehab, Inc
- Margaret Walls, IDD WAIVER SERVICES
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.