Individual provider Active NPI

Scott Eugene Krause, DDS

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1548587363
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58386 Issued in CA
Practice address
1001 E Vista Way
Suite 2
Vista, CA 92084-4603
Phone
(760) 724-9010
Fax
(760) 724-9145
NPI assigned
May 3, 2010
Last updated
Feb 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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 58386 CA Primary

Addresses

Primary practice location

1001 E Vista Way
Suite 2
Vista, CA 92084-4603

Mailing address

1001 E Vista Way
Suite 2
Vista, CA 92084-4603
Phone (760) 724-9010

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

LicenseStateTypeSpecialty
58386CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1548587363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E VISTA WAY",
            "address_2": "SUITE 2",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844603",
            "telephone_number": "760-724-9010",
            "fax_number": "760-724-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E VISTA WAY",
            "address_2": "SUITE 2",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844603",
            "telephone_number": "760-724-9010",
            "fax_number": "760-724-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "SCOTT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.