Individual provider Active NPI

Scott R Scharnhorst, DDS

  • Dentist
  • Tipp City, OH
National Provider Identifier
1457613341
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023760 Issued in OH
Practice address
110 S Tippecanoe Dr Ste a
Tipp City, OH 45371-3109
Phone
(937) 667-2417
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 30.023760 OH Primary

Addresses

Primary practice location

110 S Tippecanoe Dr Ste a
Tipp City, OH 45371-3109

Mailing address

572 Cider Mill Way
Tipp City, OH 45371-2492
Phone (614) 467-0368

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
I20150729007975 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7810144227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.023760OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Family Dental, LLC Current 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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1457613341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 CIDER MILL WAY",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453712492",
            "telephone_number": "614-467-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S TIPPECANOE DR STE A",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453713109",
            "telephone_number": "937-667-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARNHORST",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

Verify at the official NPI Registry.