Active NPI
Scott Xavier Dear, D.D.S.
- Dentist
- Versailles, MO
National Provider Identifier
1962816173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2014018079
- Practice address
- 130 N Monroe St
Versailles, MO 65084-1288 - Phone
- (573) 378-5488
- Fax
- (573) 378-5488
- NPI assigned
- Jun 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2014018079 | MO | Primary |
Addresses
Primary practice location
130 N Monroe St
Versailles, MO 65084-1288
Mailing address
130 N Monroe St
Versailles, MO 65084-1288
Phone (573) 378-5488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014018079 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1962816173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N MONROE ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841288",
"telephone_number": "573-378-5488",
"fax_number": "573-378-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N MONROE ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841288",
"telephone_number": "573-378-5488",
"fax_number": "573-378-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAR",
"first_name": "SCOTT",
"middle_name": "XAVIER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-16",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2014018079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.