Christie C Scolaro, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

CA63169 Issued in CA

Practice address

34700 11TH PL S
Federal Way, WA 98003-6715

Phone

(253) 946-5322

NPI assigned

Jun 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

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.

• Sharifian Dental Corporation

  dba Tustin Dental Office

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tustin, CA
  • NPI 1144313339
  NPD (past)

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1104112390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13721 NEWPORT AVE STE 1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804601",
            "telephone_number": "714-368-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34700 11TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036715",
            "telephone_number": "253-946-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLARO",
        "first_name": "CHRISTIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038796",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA63169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Schwartz
• Paul Connell Schwartz, PA-S, L.AC.
• Kathleen Schwegler, PA-C
• Truanne Roginske Schwend, PA-C
• Laura L Sciba, PA-C
• Devin Tavares Scott
• Harold David Scott, MD
• Kassie Elizabeth Scott, ARNP
• Michelle Lynn Scott
• Sharon Denise Scott, RECOVERY SPECIALISTS

• Dentist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.