Individual provider Active NPI

Michael S Scholes, DMD, PC

  • General Practice Dentistry
  • Coeur D' Alene, ID
National Provider Identifier
1881884666
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4115 Issued in ID
Practice address
1801 N 3Rd St
Coeur D' Alene, ID 83814-3400
Phone
(208) 667-1578
Fax
(208) 765-9116
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D4115 ID Primary

Addresses

Primary practice location

1801 N 3Rd St
Coeur D' Alene, ID 83814-3400

Mailing address

1250 W Ironwood Dr Ste 216
Coeur D Alene, ID 83814-2681
Phone (208) 667-1578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20260421001817 ID Practitioner - Dentist 5799251393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Case Western University School of Dental Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1387
Hayden, ID 83835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D4115IDMDGeneral Practice Dentistry

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1881884666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR STE 216",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142681",
            "telephone_number": "208-667-1578",
            "fax_number": "208-765-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N 3RD ST",
            "city": "COEUR D' ALENE",
            "state": "ID",
            "postal_code": "838143400",
            "telephone_number": "208-667-1578",
            "fax_number": "208-765-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLES",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D' Alene, ID

Sources for this page

Verify at the official NPI Registry.