Individual provider Active NPI

Scott Delboccio, DMD

  • Dentist
  • Naples, FL
National Provider Identifier
1710130281
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14008 Issued in FL
Practice address
1729 Heritage TRL
Suite 904
Naples, FL 34112-7591
Phone
(239) 333-0900
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN14008 FL Primary

Addresses

Primary practice location

1729 Heritage TRL
Suite 904
Naples, FL 34112-7591

Mailing address

1729 Heritage TRL
Suite 904
Naples, FL 34112-7591
Phone (239) 333-0900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN14008FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1710130281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 HERITAGE TRL",
            "address_2": "SUITE 904",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127591",
            "telephone_number": "239-333-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 HERITAGE TRL",
            "address_2": "SUITE 904",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127591",
            "telephone_number": "239-333-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBOCCIO",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.