Active NPI
Dana Scafaru, D.D.S.
- General Practice Dentistry
- Sun City West, AZ
National Provider Identifier
1639189673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3336
- Practice address
- 13540 W Camino del Sol
Suite #5
Sun City West, AZ 85375-4434 - Phone
- (623) 584-9833
- Fax
- (623) 584-9834
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3336 | AZ | Primary |
Addresses
Primary practice location
13540 W Camino del Sol
Suite #5
Sun City West, AZ 85375-4434
Mailing address
6924 W Dale LN
Peoria, AZ 85383-6669
Phone (623) 362-2339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3336 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639189673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6924 W DALE LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853836669",
"telephone_number": "623-362-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13540 W CAMINO DEL SOL",
"address_2": "SUITE #5",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853754434",
"telephone_number": "623-584-9833",
"fax_number": "623-584-9834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAFARU",
"first_name": "DANA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "3336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.