Individual provider Active NPI

Brooke Nichole Scott, DDS

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1932766508
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013140A Issued in IN
Practice address
5501 E 71St St Ste 3
Indianapolis, IN 46220-3900
Phone
(317) 479-2340
NPI assigned
May 20, 2019
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 12013140A IN Primary

Addresses

Primary practice location

5501 E 71St St Ste 3
Indianapolis, IN 46220-3900

Mailing address

1661 W Main St
Carmel, IN 46032-8825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915002805 IN Practitioner - Dentist 4385008820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013140AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Dental Care PC CurrentSince Aug 1, 2023 Accepting new patients
L. S. Scott, DDS PC General Practice Past Accepting new patients

Locations

200 Byrd Way
Ste 205
Greenwood, IN 46143

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1932766508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 W MAIN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 E 71ST ST STE 3",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203900",
            "telephone_number": "317-479-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BROOKE",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013140A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.