Individual provider Active NPI

Scott Christopher Brewster, D.D.S.

  • Dentist
  • Washington, DC
National Provider Identifier
1710244165
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15351 Issued in MD
Practice address
1140 3Rd St NE Ste B-210a
Washington, DC 20002-6274
Phone
(202) 918-1620
Fax
(202) 918-1621
NPI assigned
Apr 23, 2012
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001960 DC
Dentist 122300000X 15351 MD Primary

Addresses

Primary practice location

1140 3Rd St NE Ste B-210a
Washington, DC 20002-6274

Mailing address

1140 3Rd St NE Ste B-210a
Washington, DC 20002-6274
Phone (202) 918-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616000707 MD Order and Referring Only - DentistPractitioner - Dentist 2961713037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001960DCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1710244165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 3RD ST NE STE B-210A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026274",
            "telephone_number": "202-918-1620",
            "fax_number": "202-918-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 3RD ST NE STE B-210A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026274",
            "telephone_number": "202-918-1620",
            "fax_number": "202-918-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "SCOTT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "1001960",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.