Active NPI
Zachary Scott
- Dentist
- Santa Maria, CA
National Provider Identifier
1841848413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS104226
- Practice address
- 2205 S Broadway
Santa Maria, CA 93454-7813 - Phone
- (805) 863-9430
- NPI assigned
- Aug 27, 2019
- 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 | DDS104226 | CA | Primary |
Addresses
Primary practice location
2205 S Broadway
Santa Maria, CA 93454-7813
Mailing address
1010 Ocean Vista LN
Santa Barbara, CA 93111-1300
Phone (805) 886-6294
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 |
|---|---|---|---|
| DDS104226 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1841848413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 OCEAN VISTA LN",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931111300",
"telephone_number": "805-886-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 S BROADWAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547813",
"telephone_number": "805-863-9430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS104226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.