Individual provider Active NPI

Scott Zachary Nigl, D.D.S.

  • General Practice Dentistry
  • Saginaw, MI
National Provider Identifier
1760686562
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018564 Issued in MI
Practice address
4300 State St
Saginaw, MI 48603-4066
Phone
(989) 799-6140
Fax
(989) 799-3241
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018564 MI Primary

Addresses

Primary practice location

4300 State St
Saginaw, MI 48603-4066

Mailing address

7826 Sedgewick Dr
Freeland, MI 48623-8418
Phone (989) 695-8169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307000076 MI Order and Referring Only - DentistPractitioner - Dentist 0244536910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018564MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760686562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 SEDGEWICK DR",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238418",
            "telephone_number": "989-695-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034066",
            "telephone_number": "989-799-6140",
            "fax_number": "989-799-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGL",
        "first_name": "SCOTT",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.