Walter Stuart Scott III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5678 Issued in NC

Practice address

2935 Breezewood Ave
Suite 200
Fayetteville, NC 28303-5284

Phone

(910) 323-3133

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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.

• Walter S Scott DDS PA

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1942497433
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649205477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 STOCKBRIDGE CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110300",
            "telephone_number": "910-323-3133",
            "fax_number": "910-323-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BREEZEWOOD AVE",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035284",
            "telephone_number": "910-323-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WALTER",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997606",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashandra Scott
• Mathew Jonathan Scott, DO
• Toria Leigh Scott
• Travon Scott, LCSWA
• Ty'Yona Scott
• Shaheedah Scovil
• Roshaunda Stringer Scriven
• April Faye Seabrooks, LCSWA
• Carter Jacob Sealey
• Regina A Seaman, PA-C

• General Practice Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Dentistry in North Carolina

• 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.