Individual provider Active NPI

Michael Lee Scholtz, DMD

  • General Practice Dentistry
  • Greenville, NC
National Provider Identifier
1609839166
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9053 Issued in NC
Practice address
1851 Macgregor Downs Rd
East Carolina University School of Dental Medicine
Greenville, NC 27834
Phone
(252) 737-7029
Fax
(252) 737-7041
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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 9053 NC Primary

Addresses

Primary practice location

1851 Macgregor Downs Rd
East Carolina University School of Dental Medicine
Greenville, NC 27834

Mailing address

928 Nottingham Rd
Greenville, NC 27858-6251
Phone (410) 562-2820

Other identifiers 1

IdentifierTypeStateIssuer
8903019MedicaidNC

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1609839166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NOTTINGHAM RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586251",
            "telephone_number": "410-562-2820",
            "fax_number": "252-737-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MACGREGOR DOWNS RD",
            "address_2": "EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-737-7029",
            "fax_number": "252-737-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLTZ",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8903019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.