Scott Carver Dickinson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901012330 Issued in MI

Practice address

1905 Abbott Rd
East Lansing, MI 48823-8571

Phone

(517) 351-6140

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• McNiel Family Dentistry, PC

  • General Practice Dentistry
  • East Lansing, MI
  • NPI 1548654247
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811003429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ABBOTT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238571",
            "telephone_number": "517-351-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ABBOTT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238571",
            "telephone_number": "517-351-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "SCOTT",
        "middle_name": "CARVER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurmail Singh Dhaliwal, M.D
• Maninderpal Singh Dhillon, D.O.
• Diane Trebilcock
• Elliana Diaz
• Arianna Charae Dickason
• Marcia Anne Diedrich, SLP
• Wilfred Joseph Dietrich, PTA
• Douglas Paul Dietzel, D.O.
• Alexandria Faith Diller
• Matthew James Dimagno, MD

• General Practice Dentistry in East Lansing, MI
• Providers in East Lansing, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• 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.