Active NPI
Scott Nathan Folino, DDS
- Periodontics
- Palm Harbor, FL
National Provider Identifier
1538299128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN15149
- Practice address
- 34911 US Hwy 19 North
Suite 624
Palm Harbor, FL 34684 - Phone
- (727) 784-0214
- Fax
- (727) 786-0916
- NPI assigned
- Mar 6, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN15149 | FL | Primary |
Addresses
Primary practice location
34911 US Hwy 19 North
Suite 624
Palm Harbor, FL 34684
Mailing address
34911 US Hwy 19 North
Suite 624
Palm Harbor, FL 34684
Phone (727) 784-0214
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110916000349 | FL | Practitioner - Oral Surgery | 8426229717 | Practice locations: Palm Harbor, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN15149 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538299128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34911 US HWY 19 NORTH",
"address_2": "SUITE 624",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34684",
"telephone_number": "727-784-0214",
"fax_number": "727-786-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34911 US HWY 19 NORTH",
"address_2": "SUITE 624",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34684",
"telephone_number": "727-784-0214",
"fax_number": "727-786-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLINO",
"first_name": "SCOTT",
"middle_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN15149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.