Charles Timothy Scott, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4428 Issued in OK

Practice address

5225 SE 15TH St
Del City, OK 73115-4513

Phone

(405) 670-2461

Fax

(405) 842-9954

NPI assigned

Dec 15, 2006

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 OK

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oklahoma Dental

  • General Practice Dentistry
  • Yukon, OK
  • NPI 1467440503
  NPD (past)
• Oklahoma Dental-del City

  • General Practice Dentistry
  • Del City, OK
  • NPI 1841350774
  NPD (past)
• Oklahoma Dental-South

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1043370513
  NPD (past)
• Oklahoma Dental-Yukon

  • General Practice Dentistry
  • Yukon, OK
  • NPI 1124188933
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962564765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 RICHMOND SQ",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182058",
            "telephone_number": "405-840-5600",
            "fax_number": "405-842-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 SE 15TH ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731154513",
            "telephone_number": "405-670-2461",
            "fax_number": "405-842-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHARLES",
        "middle_name": "TIMOTHY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Roy, MD
• Samuel C. Sigmon, DDS, PC
• Andre Ramone Sanders, NONE
• Mark John Schalk, RN
• Gary Schultz
• Kate Sears
• Moses Sgunro
• Brian G Sharp, PA-C
• Janna Nichole Sharp
• Diana Shephard

• General Practice Dentistry in Del City, OK
• Providers in Del City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.