Organization Active NPI

Scott McLaren DDS PLLC

  • Pediatric Dentistry
  • Mooresville, NC
National Provider Identifier
1730841289
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Oct 12, 2021

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.