Active NPI
Scott P Wilson, DDS
- Dentist
- Las Vegas, NV
National Provider Identifier
1700955853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4273
- Practice address
- 6015 S Fort Apache Rd
#130
Las Vegas, NV 89148-5543 - Phone
- (702) 485-1780
- Fax
- (702) 485-1078
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4273 | NV | Primary |
Addresses
Primary practice location
6015 S Fort Apache Rd
#130
Las Vegas, NV 89148-5543
Mailing address
6015 S Fort Apache Rd
#130
Las Vegas, NV 89148-5543
Phone (702) 485-1780
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4273 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Scott Wilson DDS PLLC 4 | Dentist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1649039793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1700955853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 S FORT APACHE RD",
"address_2": "#130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485543",
"telephone_number": "702-485-1780",
"fax_number": "702-485-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 S FORT APACHE RD",
"address_2": "#130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485543",
"telephone_number": "702-485-1780",
"fax_number": "702-485-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SCOTT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "4273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.