Individual provider Active NPI

Benjamin Mark Scapa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Redmond, WA
National Provider Identifier
1023388451
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000251 Issued in WA
Practice address
8040 161St Ave NE
Suite 268
Redmond, WA 98052-3807
Phone
(425) 802-1621
NPI assigned
Jan 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X PH00010473 WA
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000251 WA Primary

Addresses

Primary practice location

8040 161St Ave NE
Suite 268
Redmond, WA 98052-3807

Mailing address

8040 161St Ave NE
Suite 268
Redmond, WA 98052-3807
Phone (425) 802-1621

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

LicenseStateTypeSpecialty
PH00010473WAMDGeriatric Pharmacist
PO00000251WAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1023388451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 161ST AVE NE",
            "address_2": "SUITE 268",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523807",
            "telephone_number": "425-802-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 161ST AVE NE",
            "address_2": "SUITE 268",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523807",
            "telephone_number": "425-802-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAPA",
        "first_name": "BENJAMIN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "WA",
            "license": "PH00010473",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.