Scott Perrine Churchill, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25873 Issued in CA

Practice address

2001 Zinfandel Dr
Suite A2
Rancho Cordova, CA 95670-4265

Phone

(916) 638-4641

Fax

(916) 638-4795

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jooyoung Oh DDS Inc

  • Dental Clinic/Center
  • Rancho Cordova, CA
  • NPI 1730957697
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1003908096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956281706",
            "telephone_number": "916-638-4641",
            "fax_number": "916-638-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR",
            "address_2": "SUITE A2",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704265",
            "telephone_number": "916-638-4641",
            "fax_number": "916-638-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "SCOTT",
        "middle_name": "PERRINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel H Chou, MD
• Jennifer H. Choy, DO
• Lesley Chu, PT, DPT
• Elizabeth Chumak
• Grace H. Chun, MD
• Terri Lynn Ciochetti, M.F.T.
• Evi Ciriaco
• Tania Cisneros Zamudio, D.D.S
• William Nelson Claar, P.T.
• Dwight Eugene Clark, O.D.

• General Practice Dentistry in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.