Individual provider Active NPI

Anthony J Sciuto, DMD

  • General Practice Dentistry
  • Haverhill, MA
National Provider Identifier
1720019615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14730 Issued in MA
Practice address
234 Summer St
Haverhill, MA 01830-6318
Phone
(978) 372-2825
Fax
(978) 521-5838
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 14730 MA Primary

Addresses

Primary practice location

234 Summer St
Haverhill, MA 01830-6318

Mailing address

234 Summer St
Haverhill, MA 01830-6318
Phone (978) 372-2825

Other identifiers 1

IdentifierTypeStateIssuer
X05016OtherMABLUE CROSS BLUE SHIELD

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
I20150724011463 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7517270143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14730MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sciuto and Associates, LLC General Practice Current 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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720019615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306318",
            "telephone_number": "978-372-2825",
            "fax_number": "978-521-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306318",
            "telephone_number": "978-372-2825",
            "fax_number": "978-521-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIUTO",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X05016",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.