Organization Active NPI

M Scott Gore DDS PC

  • General Practice Dentistry
  • Midlothian, VA
National Provider Identifier
1609925908
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7262 Issued in VA
Legal business name
M SCOTT GORE DDS PC
Practice address
14431 Sommerville CT
Suite a
Midlothian, VA 23113-6812
Phone
(804) 794-4588
Fax
(804) 378-3717
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Michael Scott Gore, DDSNPI 1952549347
Title
President of Corporation
Phone
(804) 794-4588

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7262 VA Primary

Addresses

Primary practice location

14431 Sommerville CT
Suite a
Midlothian, VA 23113-6812

Mailing address

14431 Sommerville CT
Suite a
Midlothian, VA 23113-6812
Phone (804) 794-4588

National Provider Directory

National Provider Directory

Locations

14431 Sommerville Ct
Ste A
Midlothian, VA 23113
Phone (804) 265-4784

Practitioners & affiliated clinicians

Practitioners 8

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1609925908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 SOMMERVILLE CT",
            "address_2": "SUITE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136812",
            "telephone_number": "804-794-4588",
            "fax_number": "804-378-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14431 SOMMERVILLE CT",
            "address_2": "SUITE A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136812",
            "telephone_number": "804-794-4588",
            "fax_number": "804-378-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SCOTT GORE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "804-794-4588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

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