Individual provider Active NPI

Patrizia Scalia, DDS

  • General Practice Dentistry
  • Rochester, MI
National Provider Identifier
1144372038
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17203 Issued in MI
Practice address
435 Pine St
Rochester, MI 48307-1933
Phone
(248) 652-9116
Fax
(248) 652-3136
NPI assigned
Jan 18, 2007
Sex
Female
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 17203 MI Primary

Addresses

Primary practice location

435 Pine St
Rochester, MI 48307-1933

Mailing address

471 Lake Forest Rd
Rochester Hills, MI 48309-2237
Phone (248) 608-1432

Other identifiers 1

IdentifierTypeStateIssuer
17203OtherMIDENTAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151109000669 MI Order and Referring Only - DentistPractitioner - Dentist 7517277262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17203MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Assoc., PC General Practice Past Accepting new patients
Walby Dental PLLC General Practice PastSince Jun 21, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144372038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 LAKE FOREST RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092237",
            "telephone_number": "248-608-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PINE ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071933",
            "telephone_number": "248-652-9116",
            "fax_number": "248-652-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALIA",
        "first_name": "PATRIZIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "17203",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.