William Patrick Scruggs, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8950 Issued in NC

Practice address

2945 New Bern Ave
Raleigh, NC 27610-1213

Phone

(191) 962-3029

Fax

(191) 983-4733

NPI assigned

Jul 6, 2010

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

Other names 1

• Dr. Bill Patrick Scruggs Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 3, 2021 through Feb 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1811209026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101213",
            "telephone_number": "191-962-3029",
            "fax_number": "191-983-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101213",
            "telephone_number": "191-962-3029",
            "fax_number": "191-983-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "SCRUGGS",
            "middle_name": "PATRICK",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiandrea Scriven, LCSW, LCASA
• Jasmyn Scruggs
• Justin Richard Scruggs, M.D.
• Lindsay Penn Scruggs
• Paul E. Scruggs, DDS
• Gina Beth Scully
• Tievra Scurlock-Holeman
• Jakara Tanise Scurry, MA, LCMHC, LCASA,NCC
• Lauren White Seabolt, PH.D.
• Kristen Sealey

• Dentist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.