NPIMap

Organization Active NPI

Artemis C. Scandalios,DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1811087885
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5954 Issued in NC
Legal business name
ARTEMIS C. SCANDALIOS,DDS, PA
Practice address
3803-A Computer Dr.
Raleigh, NC 27609
Phone
(919) 781-0056
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Artemis C Scandalios, DDSNPI 1235206269
Title
Dentist/President
Phone
(919) 781-0056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5954 NC Primary

Addresses

Primary practice location

3803-A Computer Dr.
Raleigh, NC 27609

Mailing address

3803-A Computer Dr.
Raleigh, NC 27609
Phone (919) 781-0056

Other identifiers 2

IdentifierTypeStateIssuer
899758AMedicaidNC
5954OtherNCLICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

3803 Computer Dr
#A
Raleigh, NC 27609
Phone (919) 781-0056

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1811087885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803-A COMPUTER DR.",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-781-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803-A COMPUTER DR.",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-781-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEMIS C. SCANDALIOS,DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SCANDALIOS",
        "authorized_official_first_name": "ARTEMIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "919-781-0056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899758A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5954",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.