Theresa Nina Scopazzi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32901 Issued in CA

Practice address

36 N San Mateo Dr Ste C
San Mateo, CA 94401-4523

Phone

(650) 343-9434

NPI assigned

Jan 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Theresa Nina Scopazzi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 31, 2016 through May 31, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1326318197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N SAN MATEO DR STE C",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014523",
            "telephone_number": "650-343-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N SAN MATEO DR STE C",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014523",
            "telephone_number": "650-343-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOPAZZI",
        "first_name": "THERESA",
        "middle_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "SCOPAZZI",
            "middle_name": "NINA",
            "prefix": "MS.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alan Burton Schwartz, MD
• Kenneth E. Schwartz, M.D.
• Marcia J. Schwartz, PH.D.
• Emily Marie Schwarz, MD
• Jessica Brittany Sclafani, PA-C
• Christopher Alexander Scott, D.C.
• Lauren Scott
• Nadja Tyra Scott, BCBA
• Rahnayjah Scott
• Christine Erin Seagren

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.