Peter George Scordakis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37058 Issued in CA

Practice address

9216 Kiefer Blvd
#1
Sacramento, CA 95826-5418

Phone

(916) 363-2374

NPI assigned

Dec 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336204882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 KIEFER BLVD",
            "address_2": "#1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958265418",
            "telephone_number": "916-363-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 KIEFER BLVD",
            "address_2": "#1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958265418",
            "telephone_number": "916-363-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORDAKIS",
        "first_name": "PETER",
        "middle_name": "GEORGE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lauren Scoggan
• Jenna Scoggins
• Andrea Sconberg
• Scooter Store - Sacramento LLC (The SCOOTER Store/Alliance Seating and Mobility)
• Nicholas Scordakis
• Adriane Rodica Scortia, DDS
• Scott D Stringer MD Medical Corporation
• Scott Family Services, LLC
• Scott M Wigginton MD Inc
• Charlotte Scott-Day, M.S.

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, 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 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.