Active NPI
Kyle Steven Scott, D.D.S.
- Dentist
- Tempe, AZ
National Provider Identifier
1730490434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8674
- Practice address
- 1455 E Guadalupe Rd Ste 1
Tempe, AZ 85283-3951 - Phone
- (480) 831-6440
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8674 | AZ | Primary |
| Dentist | 122300000X | 59543 | CA |
Addresses
Primary practice location
1455 E Guadalupe Rd Ste 1
Tempe, AZ 85283-3951
Mailing address
3499 E Melody LN
Gilbert, AZ 85234-1729
Phone (480) 707-3667
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 |
|---|---|---|---|
| 59543 | CA | MD | Dentist |
| 8674 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1730490434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3499 E MELODY LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852341729",
"telephone_number": "480-707-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 E GUADALUPE RD STE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833951",
"telephone_number": "480-831-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KYLE",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-28",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "8674",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59543",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.