Organization Active NPI

Scott Pyo, DDS Inc

  • Dental Clinic/Center
  • Gold River, CA
National Provider Identifier
1306512561
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SCOTT PYO, DDS INC
Practice address
11230 Gold Express Dr Ste 302
Gold River, CA 95670-4484
Phone
(916) 638-8778
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Scott Pyo, DDSNPI 1407167943
Title
Owner/President
Phone
(909) 499-4500

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11230 Gold Express Dr Ste 302
Gold River, CA 95670-4484

Mailing address

11230 Gold Express Dr Ste 302
Gold River, CA 95670-4484
Phone (916) 638-8778

Other names 1

  • Gold River Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11230 Gold Express Dr
Ste 302
Gold River, CA 95670
Phone (916) 638-8778

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": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1306512561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 GOLD EXPRESS DR STE 302",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704484",
            "telephone_number": "916-638-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 GOLD EXPRESS DR STE 302",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704484",
            "telephone_number": "916-638-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT PYO, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "PYO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-499-4500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold River Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gold River, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.