Dontra Brandon Scott, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30227 Issued in TX

Practice address

11901 Toepperwein Rd
902
Live Oak, TX 78233-3161

Phone

(410) 258-3869

Fax

(718) 901-8121

NPI assigned

Jun 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1912218876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 CAMINO LA COSTA",
            "address_2": "3079",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523334",
            "telephone_number": "410-258-3869",
            "fax_number": "718-901-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD",
            "address_2": "902",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333161",
            "telephone_number": "410-258-3869",
            "fax_number": "718-901-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DONTRA",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056528-1",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "30227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarod Schroeder, DO
• Jeremy Schulz
• Brian Edward Schulze, MD PA
• Erica Leigh Schweickardt
• Scott Gorden Stafford, DDS, PC
• Michelle Lynn Self
• Kelly Allyn Sellers
• Karissa Serrano, PT, DPT
• Tamarea Session
• Izabella Seward

• Endodontics in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.