Individual provider Active NPI

Scott S West, D.D.S

  • Pediatric Dentistry
  • Bartlesville, OK
National Provider Identifier
1912077876
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5296 Issued in OK
Practice address
2359 Nowata PL
Bartlesville, OK 74006-4745
Phone
(918) 331-0016
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5296 OK
Pediatric Dentistry 1223P0221X 5296 OK Primary

Addresses

Primary practice location

2359 Nowata PL
Bartlesville, OK 74006-4745

Mailing address

2359 Nowata PL
Bartlesville, OK 74006-4745
Phone (918) 331-0016

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
5296OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safari Smiles, PLLC Pediatric Dentistry CurrentSince Oct 23, 2022 Accepting new patients
Corbyn L Vanbrunt DDS PC General Practice PastSince Nov 23, 2019 Accepting new patients

Locations

2359 Nowata Pl
Bartlesville, OK 74006
Phone (918) 331-0016

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1912077876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064745",
            "telephone_number": "918-331-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064745",
            "telephone_number": "918-331-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "SCOTT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5296",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "5296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.