Active NPI
Elizabeth Irma Scott, DDS
- Pediatric Dentistry
- Belton, TX
National Provider Identifier
1811475643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 34503
- Practice address
- 412 Lake Rd
Belton, TX 76513 - Phone
- (254) 791-5147
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34503 | TX | |
| Pediatric Dentistry | 1223P0221X | 34503 | TX | Primary |
Addresses
Primary practice location
412 Lake Rd
Belton, TX 76513
Mailing address
505 E Huntland Dr Ste 340
Austin, TX 78752-3745
Other practice location 1
169 Ashley Avenue
Room 202 Main Hospital, MSC 333
Charleston, SC 29425
Phone (843) 792-3916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212003449 | SC | Order and Referring Only - Dentist | 0749525160 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34503 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1811475643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E HUNTLAND DR STE 340",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 LAKE RD",
"city": "BELTON",
"state": "TX",
"postal_code": "76513",
"telephone_number": "254-791-5147"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Avenue",
"address_2": "Room 202 Main Hospital, MSC 333",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "29425",
"country_code": "US",
"telephone_number": "843-792-3916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "ELIZABETH",
"middle_name": "IRMA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34503",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "34503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.