Active NPI
Scott George Metskas, D.D.S.
- Periodontics
- Stevens Point, WI
National Provider Identifier
1992915276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 5001568-015
- Practice address
- 3364 Iris LN
Stevens Point, WI 54481-5618 - Phone
- (715) 341-7546
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5001568-015 | WI | Primary |
Addresses
Primary practice location
3364 Iris LN
Stevens Point, WI 54481-5618
Mailing address
3364 Iris LN
Stevens Point, WI 54481-5618
Phone (715) 341-7546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5001568-015 | Other | WI | DENTISTRY LICENSE |
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 |
|---|---|---|---|
| 5001568-015 | WI | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992915276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3364 IRIS LN",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544815618",
"telephone_number": "715-341-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3364 IRIS LN",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544815618",
"telephone_number": "715-341-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METSKAS",
"first_name": "SCOTT",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WI",
"license": "5001568-015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTISTRY LICENSE",
"identifier": "5001568-015",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.