Individual provider Active NPI

Shaneka Danyelle Scott, DDS

  • General Practice Dentistry
  • Forney, TX
National Provider Identifier
1881975159
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26555 Issued in TX
Practice address
101 N FM 548 Ste 105
Forney, TX 75126-5686
Phone
(972) 552-1224
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 26555 TX Primary

Addresses

Primary practice location

101 N FM 548 Ste 105
Forney, TX 75126-5686

Mailing address

4300 Lamar Ave
Paris, TX 75462-5100
Phone (903) 905-4905

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

LicenseStateTypeSpecialty
26555TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiley Star Dental PLLC General Practice CurrentSince Dec 28, 2022 Accepting new patients
Forney Modern Dentistry and Orthodontics General Practice Past Accepting new patients

Locations

4300 Lamar Ave
Paris, TX 75462
Phone (903) 905-4905

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1881975159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625100",
            "telephone_number": "903-905-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FM 548 STE 105",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265686",
            "telephone_number": "972-552-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SHANEKA",
        "middle_name": "DANYELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.