Scott N. Vandusen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100986 Issued in CO

Legal business name

SCOTT N. VANDUSEN, D.D.S.

Practice address

1301 N 7TH St
Suite B
Grand Junction, CO 81501-3065

Phone

(970) 255-7070

Fax

(970) 255-8070

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scotty Neil Vandusen, D.D.S.

Title

Proprietor

Phone

(970) 255-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsea Miller Barr, DMD

  • General Practice Dentistry
  • Grand Junction, CO
  • NPI 1659800258
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1770738726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N 7TH ST",
            "address_2": "SUITE B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013065",
            "telephone_number": "970-255-7070",
            "fax_number": "970-255-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 7TH ST",
            "address_2": "SUITE B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013065",
            "telephone_number": "970-255-7070",
            "fax_number": "970-255-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT N. VANDUSEN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "VANDUSEN",
        "authorized_official_first_name": "SCOTTY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "970-255-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "100986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43604561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Scissors, M.D.
• Cooper Sclar, DO
• Mark Allen Scofield, LCSW
• Scott Aber, LLC
• Scott E Vincent M. D. , P. C.
• Cheryl Scriven Scott, RPH
• David Russell Scott, M.D.
• George C Scott, MD, PHD
• Heather Bauerle Scott, PNP-BC
• Tyler Scott, DO

• General Practice Dentistry in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.