Scott E Eivins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7859 Issued in CO

Practice address

675 Snap Dragon Way Unit 250
Steamboat Springs, CO 80487-2141

Phone

(970) 457-4120

Fax

(970) 457-4243

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1922060003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SNAP DRAGON WAY UNIT 250",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804872141",
            "telephone_number": "970-457-4120",
            "fax_number": "970-457-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SNAP DRAGON WAY UNIT 250",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804872141",
            "telephone_number": "970-457-4120",
            "fax_number": "970-457-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Central Park Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804878816",
            "country_code": "US",
            "telephone_number": "970-871-4611",
            "fax_number": "970-879-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIVINS",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.