Active NPI
Peter Joseph Scelfo, DDS, FAGD
- General Practice Dentistry
- Spotsylvania, VA
National Provider Identifier
1396838827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 05482
- Practice address
- 10466 Georgetown Drive
Spotsylvania, VA 22553 - Phone
- (540) 898-8181
- Fax
- (540) 898-6960
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 05482 | VA | Primary |
Addresses
Primary practice location
10466 Georgetown Drive
Spotsylvania, VA 22553
Mailing address
10466 Georgetown Drive
Spotsylvania, VA 22553
Phone (540) 898-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150504000930 | VA | Order and Referring Only - Oral Surgery | 7113246729 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05482 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey D Day DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396838827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10466 GEORGETOWN DRIVE",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "22553",
"telephone_number": "540-898-8181",
"fax_number": "540-898-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10466 GEORGETOWN DRIVE",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "22553",
"telephone_number": "540-898-8181",
"fax_number": "540-898-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCELFO",
"first_name": "PETER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS, FAGD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "05482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spotsylvania, VA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.