Individual provider Active NPI

Todd A Pizzi, DDS

  • General Practice Dentistry
  • Del Mar, CA
National Provider Identifier
1609918101
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64667 Issued in CA
Practice address
13983 Mango Dr
Suite 201
Del Mar, CA 92014-3131
Phone
(858) 755-0187
Fax
(858) 755-0387
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19967 MA
General Practice Dentistry 1223G0001X 64667 CA Primary

Addresses

Primary practice location

13983 Mango Dr
Suite 201
Del Mar, CA 92014-3131

Mailing address

13983 Mango Dr
Suite 201
Del Mar, CA 92014-3131
Phone (858) 755-0187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160121000641 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3870896020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19967MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Todd a. Pizzi DDS, Inc. General Practice Past 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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1609918101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13983 MANGO DR",
            "address_2": "SUITE 201",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143131",
            "telephone_number": "858-755-0187",
            "fax_number": "858-755-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13983 MANGO DR",
            "address_2": "SUITE 201",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143131",
            "telephone_number": "858-755-0187",
            "fax_number": "858-755-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZI",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19967",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

Verify at the official NPI Registry.