Individual provider Active NPI

August Joseph Scialfa Jr., DDS

  • Dentist
  • Venice, FL
National Provider Identifier
1225184880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0014376 Issued in FL
Practice address
1872 Tamiami TRL S
Suite C
Venice, FL 34293-3129
Phone
(941) 492-4200
NPI assigned
Jan 26, 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
Dentist 122300000X DN0014376 FL Primary

Addresses

Primary practice location

1872 Tamiami TRL S
Suite C
Venice, FL 34293-3129

Mailing address

2540 Pebble Creek PL
Port Charlotte, FL 33948-1647
Phone (041) 629-4686

Other names 1

  • Dr. Aj Tony Scialfa Jr. Other name

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

LicenseStateTypeSpecialty
DN0014376FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225184880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 PEBBLE CREEK PL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481647",
            "telephone_number": "041-629-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 TAMIAMI TRL S",
            "address_2": "SUITE C",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933129",
            "telephone_number": "941-492-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIALFA",
        "first_name": "AUGUST",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0014376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJ",
            "last_name": "SCIALFA",
            "middle_name": "TONY",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.