Individual provider Active NPI

Scott A. Ulery, DMD

  • General Practice Dentistry
  • Crofton, MD
National Provider Identifier
1982668299
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MD 10640 Issued in MD
Practice address
1286 Maryland RT 3 S
Crofton, MD 21114-1340
Phone
(410) 721-8200
Fax
(410) 721-7629
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X MD 10640 MD Primary

Addresses

Primary practice location

1286 Maryland RT 3 S
Crofton, MD 21114-1340

Mailing address

926 Great Pond Dr Ste 2003
Altamonte Springs, FL 32714-7244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20150513001400 MD Order and Referring Only - DentistPractitioner - Dentist 9537489661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD 10640MDMDGeneral Practice Dentistry
10640MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients
Ulery Dental and Orthodontics Past Accepting new patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1982668299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GREAT POND DR STE 2003",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 MARYLAND RT 3 S",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141340",
            "telephone_number": "410-721-8200",
            "fax_number": "410-721-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULERY",
        "first_name": "SCOTT",
        "middle_name": "A.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD 10640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.