Active NPI
John Wilson Scott, DDS
- Dentist
- Waco, TX
National Provider Identifier
1841314721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14362
- Practice address
- 901 N Loop 340
Waco, TX 76705-7507 - Phone
- (254) 799-5000
- NPI assigned
- Mar 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 14362 | TX | Primary |
Addresses
Primary practice location
901 N Loop 340
Waco, TX 76705-7507
Mailing address
901 N Loop 340
Waco, TX 76705-7507
Phone (254) 799-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14362 | Other | TX | STATE LICENSE |
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 |
|---|---|---|---|
| 14362 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841314721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N LOOP 340",
"city": "WACO",
"state": "TX",
"postal_code": "767057507",
"telephone_number": "254-799-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N LOOP 340",
"city": "WACO",
"state": "TX",
"postal_code": "767057507",
"telephone_number": "254-799-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JOHN",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "14362",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.