Active NPI
Scott D Fross, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Menlo Park, CA
National Provider Identifier
1346453982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 48266
- Practice address
- 321 Middlefield Road
Suite 110
Menlo Park, CA 94025 - Phone
- (650) 328-2322
- Fax
- (650) 328-5297
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 48266 | CA | Primary |
Addresses
Primary practice location
321 Middlefield Road
Suite 110
Menlo Park, CA 94025
Mailing address
Scott D. Fross DDS, PC
321 Middlefield Road, Suite 110
Menlo Park, CA 94025
Phone (650) 328-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48266 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1346453982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SCOTT D. FROSS DDS, PC",
"address_2": "321 MIDDLEFIELD ROAD, SUITE 110",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "650-328-2322",
"fax_number": "650-328-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MIDDLEFIELD ROAD",
"address_2": "SUITE 110",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "650-328-2322",
"fax_number": "650-328-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROSS",
"first_name": "SCOTT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "48266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.