Scott W Charmoli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3681 Issued in WI

Practice address

73 Liberty Ave
Hartford, WI 53027-8739

Phone

(262) 673-2960

NPI assigned

Oct 5, 2006

Last updated

Aug 16, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1346336294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LIBERTY AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278739",
            "telephone_number": "262-673-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LIBERTY AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278739",
            "telephone_number": "262-673-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARMOLI",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy J Carl, CRNA
• Lauren Margaret Carlson, PA-C
• Elizabeth Augusta Carroll
• CH Specialty Services Wi SC
• Kayla Chapman
• David Chen, MD
• Sanjay Kumar Chopra, DO
• City of Hartford Treasurer (Hartford Emergency Squad)
• Leah Nicole Clancy, DDS
• Lauren Claxton, NP

• General Practice Dentistry in Hartford, WI
• Providers in Hartford, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.