Individual provider Active NPI

Scott Nathan Shapiro, D.D.S.

  • General Practice Dentistry
  • Rocky River, OH
National Provider Identifier
1700825379
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17688 Issued in OH
Practice address
19300 Detroit Rd
Suite 206
Rocky River, OH 44116-1847
Phone
(440) 333-6353
Fax
(440) 333-6358
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 17688 OH Primary

Addresses

Primary practice location

19300 Detroit Rd
Suite 206
Rocky River, OH 44116-1847

Mailing address

19300 Detroit Rd
Suite 206
Rocky River, OH 44116-1847
Phone (440) 333-6353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160114000228 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698077287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700825379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19300 DETROIT RD",
            "address_2": "SUITE 206",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161847",
            "telephone_number": "440-333-6353",
            "fax_number": "440-333-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 DETROIT RD",
            "address_2": "SUITE 206",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161847",
            "telephone_number": "440-333-6353",
            "fax_number": "440-333-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "SCOTT",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.