Active NPI
Scott Pyo, D.D.S.
- Pediatric Dentistry
- Gold River, CA
National Provider Identifier
1407167943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 100979
- Practice address
- 11230 Gold Express Dr Ste 302
Gold River, CA 95670-4484 - Phone
- (916) 638-8778
- NPI assigned
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 100979 | CA | Primary |
Addresses
Primary practice location
11230 Gold Express Dr Ste 302
Gold River, CA 95670-4484
Mailing address
6137 Landis Ave
Carmichael, CA 95608-3809
Phone (909) 499-4500
Other practice location 1
1 Lake St
New Britain, CT 06052-1396
Phone (860) 224-2419
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 |
|---|---|---|---|
| 100979 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott Pyo, DDS Inc | Current | Accepting new patients | |
| Lyons & Rawlins DDS Inc | Pediatric Dentistry | Past | Accepting new patients |
Locations
11230 Gold Express Dr
Ste 302
Gold River, CA 95670
Phone (916) 638-8778
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Gold River, CA
- NPI 1306512561
-
- Pediatric Dentistry
- Elk Grove, CA
- NPI 1912347212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1407167943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6137 LANDIS AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083809",
"telephone_number": "909-499-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11230 GOLD EXPRESS DR STE 302",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704484",
"telephone_number": "916-638-8778"
}
],
"practiceLocations": [
{
"address_1": "1 Lake St",
"address_purpose": "LOCATION",
"city": "New Britain",
"state": "CT",
"postal_code": "060521396",
"country_code": "US",
"telephone_number": "860-224-2419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PYO",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "100979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gold River, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.