Individual provider Active NPI

Matthew Evan Scarpitti, D.D.S.

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1518346006
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21188 Issued in FL
Practice address
1525 S Alafaya TRL Ste 103
Orlando, FL 32828-8926
Phone
(407) 658-1111
NPI assigned
May 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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 DN21188 FL Primary

Addresses

Primary practice location

1525 S Alafaya TRL Ste 103
Orlando, FL 32828-8926

Mailing address

1525 S Alafaya TRL Ste 103
Orlando, FL 32828-8926
Phone (407) 658-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151229001604 FL Order and Referring Only - DentistPractitioner - Dentist 4183925654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21188FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1518346006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S ALAFAYA TRL STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288926",
            "telephone_number": "407-658-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S ALAFAYA TRL STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288926",
            "telephone_number": "407-658-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPITTI",
        "first_name": "MATTHEW",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.