Anthony J. Scoma, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

48011 Issued in CA

Practice address

10549 Scripps Poway Pkwy Ste E
San Diego, CA 92131-3963

Phone

(858) 271-4200

Fax

(858) 271-5040

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anthony J. Scoma, DDS Inc.

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1215206198
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1487796348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 SCRIPPS POWAY PKWY STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313963",
            "telephone_number": "858-271-4200",
            "fax_number": "858-271-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10549 SCRIPPS POWAY PKWY STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313963",
            "telephone_number": "858-271-4200",
            "fax_number": "858-271-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOMA",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Elizabeth Scofield
• Mark Scofield
• Steven Ward Scoggin, MPT
• Kelly Michelle Scoggins, HIS
• Peter Anthony Scognamillo Jr., DPT ATC CSCS
• Phaedra Nicole Scoortis, M.A., MFT
• Scooter Store - San Diego LLC
• Scott a. Strommer & Leslie S. Strommer,DDS,Inc.
• Scott C. Wallace, MD
• Scott Chiropractic LLC

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.