Individual provider Active NPI

David Scardella, D.M.D.

  • General Practice Dentistry
  • Duxbury, MA
National Provider Identifier
1821352436
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856177 Issued in MA
Practice address
33 Enterprise St
Suite 9
Duxbury, MA 02332-3330
Phone
(781) 934-9444
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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 DN1856177 MA Primary

Addresses

Primary practice location

33 Enterprise St
Suite 9
Duxbury, MA 02332-3330

Mailing address

33 Enterprise St
Suite 9
Duxbury, MA 02332-3330
Phone (781) 934-9444

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
I20150922000642 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678880796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David a Scardella DMD PC General Practice Past 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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1821352436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ENTERPRISE ST",
            "address_2": "SUITE 9",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023323330",
            "telephone_number": "781-934-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ENTERPRISE ST",
            "address_2": "SUITE 9",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023323330",
            "telephone_number": "781-934-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDELLA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

Verify at the official NPI Registry.