NPIMap

Organization Active NPI

Loudon Dental Arts PLLC

Doing business as Scott A Walters DDS

  • Dental Clinic/Center
  • Loudon, TN
National Provider Identifier
1982364741
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LOUDON DENTAL ARTS PLLC
Doing business as
Scott A Walters DDS
Practice address
705 Mulberry St
Loudon, TN 37774-1123
Phone
(865) 458-4396
Fax
(865) 458-4605
NPI assigned
Dec 21, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Dr. Scott Allen Walters, DDSNPI 1144230574
Title
President
Phone
(423) 384-2105

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

705 Mulberry St
Loudon, TN 37774-1123

Mailing address

2235 Friendsville Rd
Lenoir City, TN 37772-4805
Phone (423) 384-2105

Other names 1

  • Scott A Walters DDS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lfddrwalters@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Loudon Dental Arts PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

705 Mulberry St
Loudon, TN 37774
Phone (865) 458-4396

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": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1982364741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 FRIENDSVILLE RD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377724805",
            "telephone_number": "423-384-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MULBERRY ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741123",
            "telephone_number": "865-458-4396",
            "fax_number": "865-458-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDON DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-384-2105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lfddrwalters@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 Mulberry St",
            "city": "Loudon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377741123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Scott A Walters DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loudon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.