Scott Allen Logan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14215 Issued in TX

Practice address

3205 Robinson Creek Pkwy
Huntsville, TX 77340-2299

Phone

(936) 291-6589

Fax

(936) 291-6173

NPI assigned

May 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Scott a. Logan, DDS, PA

  • Durable Medical Equipment & Medical Supplies
  • Huntsville, TX
  • NPI 1942869227
  NPD (past) Authorized official
• Scott a. Logan D.D.S., and Aaron D. Fritsch D.D.S., PLLC

  • General Practice Dentistry
  • Huntsville, TX
  • NPI 1083578967
  NPD (past)

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1780687210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 ROBINSON CREEK PKWY",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773402299",
            "telephone_number": "936-291-6589",
            "fax_number": "936-291-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 ROBINSON CREEK PKWY",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773402299",
            "telephone_number": "936-291-6589",
            "fax_number": "936-291-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "14215",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung Taek Lim, AGNP-C
• Marciano Salvio Limsiaco, M.D.
• Rhonda Beard Lindsey, MA, LPC, LSOTP
• Cynthia Liska
• Nubia Loera, FNP
• Lone Star Community Health Center, Inc.
• Lone Star Dermatology, PLLC
• Lone Star Executive Limousine, LLC
• Alexis Lopez
• Haley Lord

• General Practice Dentistry in Huntsville, TX
• Providers in Huntsville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.