Individual provider Active NPI

Anthony Frank Scaramuzzo, DDS

  • Dentist
  • Raleigh, NC
National Provider Identifier
1407106594
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9400 Issued in NC
Practice address
1201 Ridge Rd
Raleigh, NC 27607-6834
Phone
(919) 828-9495
NPI assigned
Sep 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9400 NC Primary

Addresses

Primary practice location

1201 Ridge Rd
Raleigh, NC 27607-6834

Mailing address

10001 Bavin PL
Raleigh, NC 27613-6101
Phone (908) 812-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160602002248 NC Order and Referring Only - DentistPractitioner - Dentist 6608166673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates XX DDS PA 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": "1347667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347667200000",
    "number": "1407106594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 BAVIN PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136101",
            "telephone_number": "908-812-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076834",
            "telephone_number": "919-828-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARAMUZZO",
        "first_name": "ANTHONY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-15",
        "last_updated": "2012-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.