Scott W Nieman DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30019924 Issued in OH

Legal business name

SCOTT W NIEMAN DDS INC

Practice address

395 N West St
Westerville, OH 43082-1400

Phone

(614) 898-9994

Fax

(614) 898-1098

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott W Nieman, DDS

Title

Practice Owner

Phone

(614) 898-9994

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1891885596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N WEST ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430821400",
            "telephone_number": "614-898-9994",
            "fax_number": "614-898-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N WEST ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430821400",
            "telephone_number": "614-898-9994",
            "fax_number": "614-898-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W NIEMAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "614-898-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30019924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2258195",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4032461",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "927503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Marie Schumann
• Kyla Schuster, LSW
• Bernadette Schwartz, ATC
• Ellen Christine Schwartz, MD
• Anna Elizabeth Sciranka
• Edesiri Scott-Emuakpor-Price
• Chadwick Louis Scott, STFA
• Hannah Scott
• Stephen Scott, DO
• Gabrielle Scragg, MA, BCBA

• Pediatric Dentistry in Westerville, OH
• Providers in Westerville, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.