Organization Active NPI

Scott R Dexter DDS

  • Dental Clinic/Center
  • El Dorado Hills, CA
National Provider Identifier
1972887255
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
55242 Issued in CA
Legal business name
SCOTT R DEXTER DDS
Practice address
889 Embarcadero Dr
Ste 201
El Dorado Hills, CA 95762-4093
Phone
(916) 933-6282
Fax
(916) 933-4834
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Scott R Dexter, D.D.S.NPI 1306016902
Title
Dentist/Ceo
Phone
(909) 800-3818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 55242 CA Primary

Addresses

Primary practice location

889 Embarcadero Dr
Ste 201
El Dorado Hills, CA 95762-4093

Mailing address

889 Embarcadero Dr
Ste 201
El Dorado Hills, CA 95762-4093
Phone (916) 933-6282

National Provider Directory

National Provider Directory

Locations

889 Embarcadero Dr
Ste 201
El Dorado Hills, CA 95762
Phone (916) 933-6282

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1972887255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 EMBARCADERO DR",
            "address_2": "STE 201",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624093",
            "telephone_number": "916-933-6282",
            "fax_number": "916-933-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 EMBARCADERO DR",
            "address_2": "STE 201",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624093",
            "telephone_number": "916-933-6282",
            "fax_number": "916-933-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R DEXTER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "909-800-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.