Individual provider Active NPI

Scott Allison Brown, D.D.S.

  • General Practice Dentistry
  • Calhoun, LA
National Provider Identifier
1780736835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4052 Issued in LA
Practice address
1326 Highway 80 E
Calhoun, LA 71225-9113
Phone
(318) 644-5948
Fax
(318) 644-5948
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 4052 LA Primary

Addresses

Primary practice location

1326 Highway 80 E
Calhoun, LA 71225-9113

Mailing address

1326 Highway 80 E
Calhoun, LA 71225-9113
Phone (318) 644-5948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160328000018 LA Order and Referring Only - DentistPractitioner - Dentist 9133426745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4052LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Family Clinic, LLC PastSince Dec 28, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780736835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 HIGHWAY 80 E",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "712259113",
            "telephone_number": "318-644-5948",
            "fax_number": "318-644-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 HIGHWAY 80 E",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "712259113",
            "telephone_number": "318-644-5948",
            "fax_number": "318-644-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SCOTT",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, LA

Sources for this page

Verify at the official NPI Registry.