Active NPI
Scott McLaren DDS PLLC
- Pediatric Dentistry
- Mooresville, NC
National Provider Identifier
1730841289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SCOTT MCLAREN DDS PLLC
- Doing business as
- Bright Pediatric Dentistry
- Practice address
- 134 Medical Park Rd Ste 210
Mooresville, NC 28117-8526 - Phone
- (208) 244-2831
- NPI assigned
- Oct 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karol Manchola
- Title
- Regional Manager
- Phone
- (980) 875-9158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
134 Medical Park Rd Ste 210
Mooresville, NC 28117-8526
Mailing address
140 Stibbs Cross Rd
Mooresville, NC 28115-0020
Phone (208) 244-2831
Other names 1
- Bright Pediatric Dentistry
National Provider Directory
National Provider DirectoryLocations
134 Medical Park Rd
Ste 210
Mooresville, NC 28117
Phone (208) 244-2831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633996800000",
"number": "1730841289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 STIBBS CROSS RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281150020",
"telephone_number": "208-244-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 MEDICAL PARK RD STE 210",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178526",
"telephone_number": "208-244-2831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT MCLAREN DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A",
"authorized_official_last_name": "MANCHOLA",
"authorized_official_first_name": "KAROL",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "980-875-9158"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bright Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.