Scott Otterson, DMD
Scott Otterson, DMD is a provider specialising in Endodontics in Ft Shafter, HI, registered under NPI 1164979464.
Getting there
The practice address on file is 146 CLARK RD, BLDG 339 USA DENTAL HEALTH ACTIVITY, Ft Shafter, HI 96858. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 12667815-9922 | UT | Endodontics primary |
| 12667815-8903 | UT | Endodontics |
| D-5561-EN | ID | Endodontics |
Licences are recorded in 2 states: UT, ID. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Order And Referring Only - Dentist
- PAC ID
- 9739523481
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Idaho and Utah. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Endodontics covers
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NUCC Health Care Provider Taxonomy, code 1223E0200X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223E0200X | Endodontics Endodontics | 12667815-9922 | UT | primary |
| 1223E0200X | Endodontics Endodontics | 12667815-8903 | UT | |
| 1223E0200X | Endodontics Endodontics | D-5561-EN | ID |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1164979464 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 2, 2016 |
| Last updated | Oct 16, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | DMD |
| Practice address |
146 CLARK RD, BLDG 339 USA DENTAL HEALTH ACTIVITY Ft Shafter, HI 96858 (808) 438-3990 |
| Mailing address |
6479 W CARRICK WAY Highland, UT 84003 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 6 | 4 | 9 | 7 | 9 | 4 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 3 | 4 | 9 | 7 | 9 | 4 | 3 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.