Richard B Scott, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18189 Issued in CA

Practice address

215 N State College Blvd
Suite E
Anaheim, CA 92806-2913

Phone

(714) 635-0892

Fax

(714) 635-7634

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bravo Dental Corporation

  • Dental Clinic/Center
  • Anaheim, CA
  • NPI 1548094436
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629159132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N STATE COLLEGE BLVD",
            "address_2": "SUITE E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062913",
            "telephone_number": "714-635-0892",
            "fax_number": "714-635-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N STATE COLLEGE BLVD",
            "address_2": "SUITE E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062913",
            "telephone_number": "714-635-0892",
            "fax_number": "714-635-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "18189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "18189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Robert Scotka
• Scott Jacks, DDS, Inc
• Carolyn Scott-Pinkney, BA
• Guiselle Marie Scott
• Octavia Scott
• Tatiana Scott
• Charles Scribner, NP
• Sea Stars Wellness Center
• Christian Jonathan Seale
• Sean Y Chiu

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.