Organization Active NPI

Stephen a. Scott, DDS, Apc

  • Clinic/Center
  • Ventura, CA
National Provider Identifier
1811089196
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25765 Issued in CA
Legal business name
STEPHEN A. SCOTT, DDS, APC
Practice address
3400 Loma Vista Rd
#11
Ventura, CA 93003-3033
Phone
(805) 644-7291
Fax
(805) 644-7248
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen A Scott, D.D.S.NPI 1184873697
Title
Dr./President
Phone
(805) 644-7291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25765 CA Primary

Addresses

Primary practice location

3400 Loma Vista Rd
#11
Ventura, CA 93003-3033

Mailing address

10674 Inyo St
Ventura, CA 93004-1038
Phone (805) 644-7291

National Provider Directory

National Provider Directory

Locations

3400 Loma Vista Rd
Ste 11
Ventura, CA 93003
Phone (805) 644-7291

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811089196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10674 INYO ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041038",
            "telephone_number": "805-644-7291",
            "fax_number": "805-644-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMA VISTA RD",
            "address_2": "#11",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033033",
            "telephone_number": "805-644-7291",
            "fax_number": "805-644-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. SCOTT, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DR./PRESIDENT",
        "authorized_official_telephone_number": "805-644-7291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "25765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.