Gerard F. Scannell III

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25873 Issued in FL

Practice address

7000 66TH Street North
Pinellas Park, FL 33781-4067

Phone

(727) 546-4665

Fax

(727) 548-7684

NPI assigned

Jun 8, 2021

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• FL Dental Centers PLLC

  • Dentist
  • Clearwater, FL
  • NPI 1457072779
  NPD
• Florida Dental Centers

  • General Practice Dentistry
  • Clearwater, FL
  • NPI 1477664266
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1265009344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 CLEVELAND STREET",
            "address_2": "SUITE 252",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653243",
            "telephone_number": "727-461-9149",
            "fax_number": "727-446-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 66TH STREET NORTH",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814067",
            "telephone_number": "727-546-4665",
            "fax_number": "727-548-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANNELL",
        "first_name": "GERARD",
        "middle_name": "F.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Santiago, MS, BCBA
• Adriana Santisteban Hernandez
• Sara M Downs DO PA
• Sarah a Digby DO PA
• Scandy Chiropractic LLC
• SCG Gracewood LLC (GraceWood Rehabilitation and Nursing Care)
• Julie Anna Schaefer, OD
• Virginia Schekorra, DO
• Meredith Mitchell Scheuermann, NP-C
• Patricia Porto Schmidt, M. A.

• General Practice Dentistry in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.