Individual provider Active NPI

Scott Ivan Silverstein, DDS,MS

  • Periodontics
  • Milford, OH
National Provider Identifier
1285791913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
19045 Issued in OH
Practice address
748 State Route 28
Suite a
Milford, OH 45150-1802
Phone
(513) 248-2626
Fax
(513) 248-8659
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

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 19045 OH Primary

Addresses

Primary practice location

748 State Route 28
Suite a
Milford, OH 45150-1802

Mailing address

748 State Route 28
Suite a
Milford, OH 45150-1802
Phone (513) 248-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150811005528 OH Order and Referring Only - DentistPractitioner - Dentist 6103725338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19045OHMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285791913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 STATE ROUTE 28",
            "address_2": "SUITE A",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501802",
            "telephone_number": "513-248-2626",
            "fax_number": "513-248-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 STATE ROUTE 28",
            "address_2": "SUITE A",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501802",
            "telephone_number": "513-248-2626",
            "fax_number": "513-248-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSTEIN",
        "first_name": "SCOTT",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "19045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.