Organization Active NPI

Scott Orthodontics

  • Exclusive Provider Organization
  • Hampton, VA
National Provider Identifier
1538502018
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
0401005160 Issued in VA
Legal business name
SCOTT ORTHODONTICS
Practice address
2108 Hartford Rd
Hampton, VA 23666-2409
Phone
(757) 825-6280
Fax
(757) 825-4995
NPI assigned
Apr 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Dr. Jon L Scott, DDS, MS
Title
Owner
Phone
(757) 825-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 0401005160 VA Primary

Addresses

Primary practice location

2108 Hartford Rd
Hampton, VA 23666-2409

Mailing address

2108 Hartford Rd
Hampton, VA 23666-2409
Phone (757) 825-6280

Other identifiers 1

IdentifierTypeStateIssuer
1831180264MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Jon L Scott DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1538502018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662409",
            "telephone_number": "757-825-6280",
            "fax_number": "757-825-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662409",
            "telephone_number": "757-825-6280",
            "fax_number": "757-825-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-825-6280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0401005160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831180264",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.