Active NPI
Paul Andrew Scott, D.D.S., M.S.
- Endodontics
- Melbourne, FL
National Provider Identifier
1598974313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 593760388
- Practice address
- 1114 Palmetto Ave
Melbourne, FL 32901-4710 - Phone
- (321) 722-0550
- Fax
- (321) 984-1093
- NPI assigned
- May 21, 2007
- Last updated
- Jun 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 593760388 | FL | Primary |
Addresses
Primary practice location
1114 Palmetto Ave
Melbourne, FL 32901-4710
Mailing address
1114 Palmetto Ave
Melbourne, FL 32901-4710
Phone (321) 722-0550
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 593760388 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1598974313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 PALMETTO AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014710",
"telephone_number": "321-722-0550",
"fax_number": "321-984-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 PALMETTO AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014710",
"telephone_number": "321-722-0550",
"fax_number": "321-984-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "PAUL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "593760388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
- Drake Nicholas Scott II
- Heather Michelle Scott, APRN
- Leah Scott, DPT
- Marissa Cherva Scott, LPN
- Megan Renee Scott
- Screen and Confirm, LLC
- Scvir PLLC
- SDB Health Services, Inc (Champion Home Health Care)
- Sea Pines Rehabilitation Hospital Limited Partnership (Sea Pines Rehabilitation Hospital, an affiliate of Encompass Health)
- Spirit Seabre
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.