Active NPI
Jay Heyden Sciuchetti, DDS
- General Practice Dentistry
- Spokane, WA
National Provider Identifier
1760464432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7642
- Practice address
- 2103 S Grand Blvd
Spokane, WA 99203-2349 - Phone
- (509) 624-0542
- Fax
- (509) 624-2332
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- 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 | 7642 | WA | Primary |
Addresses
Primary practice location
2103 S Grand Blvd
Spokane, WA 99203-2349
Mailing address
2103 S Grand Blvd
Spokane, WA 99203-2349
Phone (509) 624-0542
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7642 | Other | WA | LICENSE NUMBER |
| 5032867 | Medicaid | WA |
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 |
|---|---|---|---|
| 7642 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Sciuchetti DDS | General Practice | Current | Accepting new patients |
Locations
2103 S Grand Blvd
Spokane, WA 99203
Phone (509) 624-0542
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.
-
- General Practice Dentistry
- Spokane, WA
- NPI 1760320352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1760464432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 S GRAND BLVD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032349",
"telephone_number": "509-624-0542",
"fax_number": "509-624-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 S GRAND BLVD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032349",
"telephone_number": "509-624-0542",
"fax_number": "509-624-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIUCHETTI",
"first_name": "JAY",
"middle_name": "HEYDEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "7642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "7642",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5032867",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.