Active NPI
Micheal Wade Scott, DDS
- General Practice Dentistry
- Lubbock, TX
National Provider Identifier
1992802250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19807
- Practice address
- 6102 82ND St
Suite 3a
Lubbock, TX 79424-0802 - Phone
- (806) 799-7777
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19807 | TX | Primary |
Addresses
Primary practice location
6102 82ND St
Suite 3a
Lubbock, TX 79424-0802
Mailing address
6102 82ND St
Suite 3a
Lubbock, TX 79424-0802
Phone (806) 799-7777
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 |
|---|---|---|---|
| 19807 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1992802250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6102 82ND ST",
"address_2": "SUITE 3A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794240802",
"telephone_number": "806-799-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6102 82ND ST",
"address_2": "SUITE 3A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794240802",
"telephone_number": "806-799-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MICHEAL",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.