Individual provider Active NPI

Peter M Scerbo, DMD

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1033248554
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16840 Issued in FL
Practice address
6600 W 12TH Ave
Hialeah, FL 33012-6450
Phone
(305) 821-2611
Fax
(305) 556-0746
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16840 FL Primary

Addresses

Primary practice location

6600 W 12TH Ave
Hialeah, FL 33012-6450

Mailing address

19390 Collins Ave
#201A
Sunny Isles Beach, FL 33160-2200
Phone (305) 936-9381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415001552 FL Order and Referring Only - DentistPractitioner - Dentist 4789902180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Scerbo DMD P.a. General Practice Current Accepting new patients
Peter Scerbo DMD P.a. General Practice Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033248554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19390 COLLINS AVE",
            "address_2": "#201A",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602200",
            "telephone_number": "305-936-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126450",
            "telephone_number": "305-821-2611",
            "fax_number": "305-556-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCERBO",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.