Individual provider Active NPI

Scott Collins Earp, DDS

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1770637084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6027 Issued in NC
Practice address
800 Saint Marys St
Suite #403
Raleigh, NC 27605-1400
Phone
(919) 832-2575
Fax
(919) 832-6309
NPI assigned
Jan 23, 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 6027 NC Primary

Addresses

Primary practice location

800 Saint Marys St
Suite #403
Raleigh, NC 27605-1400

Mailing address

800 Saint Marys St
Suite #403
Raleigh, NC 27605-1400
Phone (919) 832-2575

Other identifiers 1

IdentifierTypeStateIssuer
8992333MedicaidNC

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

LicenseStateTypeSpecialty
6027NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott C. Earp DDS P. a. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770637084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAINT MARYS ST",
            "address_2": "SUITE #403",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051400",
            "telephone_number": "919-832-2575",
            "fax_number": "919-832-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAINT MARYS ST",
            "address_2": "SUITE #403",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051400",
            "telephone_number": "919-832-2575",
            "fax_number": "919-832-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARP",
        "first_name": "SCOTT",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992333",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.