NPIMap

Organization Active NPI

Walter S Scott DDS PA

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1942497433
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5678 Issued in NC
Legal business name
WALTER S SCOTT DDS PA
Practice address
2935 Breezewood Ave
Suite 200
Fayetteville, NC 28303-5284
Phone
(910) 323-3133
Fax
(910) 323-9616
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Walter Stuart Scott III, DDSNPI 1649205477
Title
Owner/Dentist
Phone
(910) 323-3133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5678 NC Primary

Addresses

Primary practice location

2935 Breezewood Ave
Suite 200
Fayetteville, NC 28303-5284

Mailing address

2935 Breezewood Ave
Suite 200
Fayetteville, NC 28303-5284
Phone (910) 323-3133

Other identifiers 1

IdentifierTypeStateIssuer
8997606MedicaidNC

Other names 1

  • Walter S Scott and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2935 Breezewood Ave
Ste 200
Fayetteville, NC 28303
Phone (910) 323-3133

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1942497433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 BREEZEWOOD AVE",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035284",
            "telephone_number": "910-323-3133",
            "fax_number": "910-323-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BREEZEWOOD AVE",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035284",
            "telephone_number": "910-323-3133",
            "fax_number": "910-323-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER S SCOTT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "910-323-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997606",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter S Scott and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.