Brian Scott, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BRIAN SCOTT, LLC

Doing business as

Advanced Dental Specialty Group

Practice address

1838 N 1075 W # 100
Farmington, UT 84025-2980

Phone

(801) 923-1011

Fax

(801) 923-1022

NPI assigned

Apr 7, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Bird

Title

Office Manager

Phone

(801) 923-1011

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advanced Dental Specialty Group Doing business as

Electronic endpoints 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Gene Ferguson Jr., D.D.S.

  • Periodontics
  • Fruit Heights, UT
  • NPI 1427125731
  NPD

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1730768557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 N 1075 W # 100",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252980",
            "telephone_number": "801-923-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 N 1075 W # 100",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252980",
            "telephone_number": "801-923-1011",
            "fax_number": "801-923-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN SCOTT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-923-1011"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "272251",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "1838 N 1075 W # 100",
            "city": "Farmington",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840252980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1838 N 1075 W # 100",
            "city": "Farmington",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840252980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "1838 N 1075 W # 100",
            "city": "Farmington",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840252980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Farmington",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1838 N 1075 W # 100",
            "city": "Farmington",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840252980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Dental Specialty Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Dental Specialty Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derek Thomas Bowles, LCSW, MSW
• Lisa Bradford, LCSW
• Deanne Bradshaw
• Kailey Brant, RBT
• Martha L Bray, FNP-C
• Bridge House
• Ashley Brinkmeyer, SLP
• Daniel Wilford Broadbent, MD
• Joshua Parker Brough
• Justin Tyler Brown, D.D.S

• Periodontics in Farmington, UT
• Providers in Farmington, UT by specialty
• Periodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.