Active NPI
Scott Maxmillian Forvilly, DDS
- Dentist
- Winnemucca, NV
National Provider Identifier
1821264896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3049
- Practice address
- 50 E Haskell St Ste C
Winnemucca, NV 89445-3576 - Phone
- (775) 623-4050
- Fax
- (775) 623-0730
- NPI assigned
- Apr 30, 2008
- Last updated
- May 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3049 | NV | Primary |
Addresses
Primary practice location
50 E Haskell St Ste C
Winnemucca, NV 89445-3576
Mailing address
50 E Haskell St Ste C
Winnemucca, NV 89445-3576
Phone (756) 234-0507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3049 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winnemucca Dental LLC | Dentist | Current | Accepting new patients |
| Innovative Dental Solutions, LLC | Past | Accepting new patients |
Locations
50 E Haskell St
Ste C
Winnemucca, NV 89445
Phone (775) 623-4050
Organizations & group practices 2
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.
-
dba Zephr Cove Dental Center
- Dental Clinic/Center
- Zephyr Cove, NV
- NPI 1699367110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1821264896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E HASKELL ST STE C",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894453576",
"telephone_number": "756-234-0507",
"fax_number": "775-588-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E HASKELL ST STE C",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894453576",
"telephone_number": "775-623-4050",
"fax_number": "775-623-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORVILLY",
"first_name": "SCOTT",
"middle_name": "MAXMILLIAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "3049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnemucca, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.