Active NPI
Scott Owen Szotko, D.D.S
- Dentist
- Roseville, CA
National Provider Identifier
1356561955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50537
- Practice address
- 729 Sunrise Ave.
Suite 102
Roseville, CA 95661 - Phone
- (916) 781-3737
- Fax
- (916) 781-6648
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50537 | CA | Primary |
Addresses
Primary practice location
729 Sunrise Ave.
Suite 102
Roseville, CA 95661
Mailing address
729 Sunrise Ave.
Suite 102
Roseville, CA 95661
Phone (916) 781-3737
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 |
|---|---|---|---|
| 50537 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1356561955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE.",
"address_2": "SUITE 102",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95661",
"telephone_number": "916-781-3737",
"fax_number": "916-781-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE.",
"address_2": "SUITE 102",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95661",
"telephone_number": "916-781-3737",
"fax_number": "916-781-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZOTKO",
"first_name": "SCOTT",
"middle_name": "OWEN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.