Individual provider Active NPI

David R Scharf, DMD

  • Periodontics
  • Babylon, NY
National Provider Identifier
1154452654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
040656 Issued in NY
Practice address
98 E Main St
Babylon, NY 11702-3525
Phone
(631) 661-6633
Fax
(631) 661-6645
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Periodontics 1223P0300X 040656 NY Primary

Addresses

Primary practice location

98 E Main St
Babylon, NY 11702-3525

Mailing address

98 East Main Street
Babylon, NY 11702-3525
Phone (631) 661-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150603000059 NY Order and Referring Only - DentistPractitioner - Dentist 6709107717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040656NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154452654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 EAST MAIN STREET",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023525",
            "telephone_number": "631-661-6633",
            "fax_number": "631-661-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023525",
            "telephone_number": "631-661-6633",
            "fax_number": "631-661-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARF",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "040656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.