NPIMap

Organization Active NPI

Paul E. Scruggs, DDS PA

  • Prosthodontics
  • Raleigh, NC
National Provider Identifier
1578684858
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
5054 Issued in NC
Legal business name
PAUL E. SCRUGGS, DDS PA
Practice address
7200 Stonehenge Dr
Suite 210
Raleigh, NC 27613-1620
Phone
(919) 846-6622
Fax
(919) 846-8012
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Paul E. Scruggs, DDSNPI 1043499213
Title
President
Phone
(919) 846-6622

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
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 5054 NC Primary

Addresses

Primary practice location

7200 Stonehenge Dr
Suite 210
Raleigh, NC 27613-1620

Mailing address

7200 Stonehenge Dr
Suite 210
Raleigh, NC 27613-1620
Phone (919) 846-6622

National Provider Directory

National Provider Directory

Locations

7200 Stonehenge Dr
Ste 210
Raleigh, NC 27613
Phone (919) 846-6622

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1578684858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 STONEHENGE DR",
            "address_2": "SUITE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131620",
            "telephone_number": "919-846-6622",
            "fax_number": "919-846-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 STONEHENGE DR",
            "address_2": "SUITE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131620",
            "telephone_number": "919-846-6622",
            "fax_number": "919-846-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. SCRUGGS, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-846-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.