Individual provider Active NPI

Scott William Cairns, D.D.S.

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1821133596
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10610 Issued in CO
Practice address
5920 Buttermere Dr
Colorado Springs, CO 80906-8267
Phone
(602) 751-9244
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5050 AZ
Dentist 122300000X 10610 CO Primary

Addresses

Primary practice location

5920 Buttermere Dr
Colorado Springs, CO 80906-8267

Mailing address

5920 Buttermere Dr
Colorado Springs, CO 80906-8267
Phone (602) 751-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150731016414 CO Order and Referring Only - DentistPractitioner - Dentist 6103130307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10610COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1821133596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 BUTTERMERE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068267",
            "telephone_number": "602-751-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 BUTTERMERE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068267",
            "telephone_number": "602-751-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIRNS",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5050",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.