Individual provider Active NPI

Melanie Rose Scarfone, D.M.D.

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1396127908
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21305 Issued in FL
Practice address
2490 Cat Cay Lane, Residential, Residential
Residential
Fort Lauderdale, FL 33312-3331
Phone
(203) 598-6850
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21305 FL
General Practice Dentistry 1223G0001X DN21305 FL Primary

Addresses

Primary practice location

2490 Cat Cay Lane, Residential, Residential
Residential
Fort Lauderdale, FL 33312-3331

Mailing address

1931 NE 2ND St # St304
Deerfield Beach, FL 33441-3741
Phone (203) 598-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226000231 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0244535466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21305FLMDDentist
DN21305FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1396127908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NE 2ND ST # ST304",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413741",
            "telephone_number": "203-598-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 CAT CAY LANE, RESIDENTIAL, RESIDENTIAL",
            "address_2": "RESIDENTIAL",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123331",
            "telephone_number": "203-598-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARFONE",
        "first_name": "MELANIE",
        "middle_name": "ROSE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "21305",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.