Active NPI
Terry J Scott, DMD
- Pediatric Dentistry
- Sherman, TX
National Provider Identifier
1750381000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 17968
- Practice address
- 2801 Loy Lake Rd
Sherman, TX 75090-1726 - Phone
- (903) 892-1200
- Fax
- (903) 813-1581
- NPI assigned
- Jul 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 17968 | TX | Primary |
Addresses
Primary practice location
2801 Loy Lake Rd
Sherman, TX 75090-1726
Mailing address
2801 Loy Lake Rd
Sherman, TX 75090-1726
Phone (903) 892-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1209090 | Medicaid | TX | |
| 88D756 | Other | TX | BLUE CROSS |
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 |
|---|---|---|---|
| 17968 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1750381000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 LOY LAKE RD",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750901726",
"telephone_number": "903-892-1200",
"fax_number": "903-813-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 LOY LAKE RD",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750901726",
"telephone_number": "903-892-1200",
"fax_number": "903-813-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TERRY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "17968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1209090",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "88D756",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.