Individual provider Active NPI

Peter Joseph Scelfo, DDS, FAGD

  • General Practice Dentistry
  • Spotsylvania, VA
National Provider Identifier
1396838827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
05482 Issued in VA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504000930 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113246729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05482VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.