Organization Active NPI

Anthony J. Scoma, DDS Inc.

Doing business as Seaside Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • San Diego, CA
National Provider Identifier
1215206198
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ANTHONY J. SCOMA, DDS INC.
Doing business as
Seaside Pediatric Dentistry & Orthodontics
Practice address
12036 Scripps Highland Dr Ste 100
San Diego, CA 92131-5155
Phone
(858) 271-4200
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Dr. Anthony J. ScomaNPI 1487796348
Title
Owner
Phone
(858) 551-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

12036 Scripps Highland Dr Ste 100
San Diego, CA 92131-5155

Mailing address

12036 Scripps Highland Dr Ste 100
San Diego, CA 92131-5155
Phone (858) 271-4200

Other names 1

  • Seaside Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

12036 Scripps Highlands Dr
#100
San Diego, CA 92131
Phone (858) 271-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1215206198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12036 SCRIPPS HIGHLAND DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921315155",
            "telephone_number": "858-271-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12036 SCRIPPS HIGHLAND DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921315155",
            "telephone_number": "858-271-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J. SCOMA, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "SCOMA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-551-9700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaside Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.