Individual provider Active NPI

Anthony L Sciortino, DDS

  • Pediatric Dentistry
  • Columbus, OH
National Provider Identifier
1639512775
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.027111 Issued in OH
Practice address
5770 N Hamilton Rd
Columbus, OH 43230-3760
Phone
(614) 475-5439
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 30.027111 OH Primary

Addresses

Primary practice location

5770 N Hamilton Rd
Columbus, OH 43230-3760

Mailing address

4375 W Dublin Granville Rd
Dublin, OH 43017-2041
Phone (914) 494-7406

Other practice location 1

1 Beech Pl
Valhalla, NY 10595-1102
Phone (914) 494-7406

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

LicenseStateTypeSpecialty
30.027111OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hines Little Smiles Pediatric Dentistry CurrentSince Jan 19, 2025 Accepting new patients
Anthony L. Sciortino, DDS, LLC CurrentSince Jan 26, 2025 Accepting new patients
Sleepytime Surgery Center, LLC PastSince Jan 19, 2025 Accepting new patients

Locations

29 W Waterloo St
Canal Wnchstr, OH 43110
Phone (914) 494-7406

Organizations & group practices 3

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1639512775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 W DUBLIN GRANVILLE RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172041",
            "telephone_number": "914-494-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432303760",
            "telephone_number": "614-475-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Beech Pl",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951102",
            "country_code": "US",
            "telephone_number": "914-494-7406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIORTINO",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.027111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.