Active NPI
Michelle Marie Scala, D.M.D.
- Dentist
- Bradenton, FL
National Provider Identifier
1093929408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15238
- Practice address
- 1805 Bayshore Gardens Pkwy
Bradenton, FL 34207-4706 - Phone
- (941) 755-6477
- Fax
- (941) 755-4737
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN15238 | FL | Primary |
Addresses
Primary practice location
1805 Bayshore Gardens Pkwy
Bradenton, FL 34207-4706
Mailing address
1805 Bayshore Gardens Pkwy
Bradenton, FL 34207-4706
Phone (941) 755-6477
Other names 1
- Michelle Marie Scala
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 |
|---|---|---|---|
| DN15238 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1093929408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 BAYSHORE GARDENS PKWY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074706",
"telephone_number": "941-755-6477",
"fax_number": "941-755-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 BAYSHORE GARDENS PKWY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074706",
"telephone_number": "941-755-6477",
"fax_number": "941-755-4737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALA",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN15238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "SCALA",
"middle_name": "MARIE",
"credential": "D.M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.