Derek Wade Scott, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20231 Issued in TX

Practice address

1520 Green Oak PL
Ste C
Kingwood, TX 77339-2010

Phone

(281) 358-3125

Fax

(281) 358-3669

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952306169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 GREEN OAK PL",
            "address_2": "STE C",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392010",
            "telephone_number": "281-358-3125",
            "fax_number": "281-358-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 GREEN OAK PL",
            "address_2": "STE C",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392010",
            "telephone_number": "281-358-3125",
            "fax_number": "281-358-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DEREK",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Razvan G Scobercea, MD
• Scott Chiropractic Clinic PC
• Shaleitha Denise Scott Finister
• Scott Mosby DDS PC
• David Angus Scott III, LMFT
• Elaine Scott, DC
• Moujdeh Scott
• Stacy Scott, DC
• Tiffany Scott
• Holly Seals, FNP

• General Practice Dentistry in Kingwood, TX
• Providers in Kingwood, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.