Individual provider Active NPI

Scott Clayhold, DMD, MDS

  • Oral and Maxillofacial Pathology Dentistry
  • Issaquah, WA
National Provider Identifier
1982662482
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
DE00009240 Issued in WA
Practice address
22605 SE 56TH St
Ste. 110
Issaquah, WA 98029-5289
Phone
(425) 369-1533
NPI assigned
May 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X DE00009240 WA Primary

Addresses

Primary practice location

22605 SE 56TH St
Ste. 110
Issaquah, WA 98029-5289

Mailing address

22605 SE 56TH St
Ste. 110
Issaquah, WA 98029-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2015 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00009240WAMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Clayhold DMD PS CurrentSince Jan 1, 1990 Accepting new patients
Walter & Chen, PS Past Accepting new patients
Oral Surgery Plus P.S. Oral and Maxillofacial Pathology Past Accepting new patients

Locations

22605 SE 56th St
Ste 110
Issaquah, WA 98029
Phone (425) 369-1533

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982662482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22605 SE 56TH ST",
            "address_2": "STE. 110",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22605 SE 56TH ST",
            "address_2": "STE. 110",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295289",
            "telephone_number": "425-369-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYHOLD",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WA",
            "license": "DE00009240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.