Individual provider Active NPI

Robert Michael Scotto, DDS

  • General Practice Dentistry
  • Schenectady, NY
National Provider Identifier
1841219581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037720 Issued in NY
Practice address
615 Union St
Schenectady, NY 12305-1502
Phone
(518) 374-9770
Fax
(518) 374-4221
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

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 037720 NY Primary

Addresses

Primary practice location

615 Union St
Schenectady, NY 12305-1502

Mailing address

615 Union St
Schenectady, NY 12305-1502
Phone (518) 374-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150512001386 NY Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 7012236169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841219581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051502",
            "telephone_number": "518-374-9770",
            "fax_number": "518-374-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051502",
            "telephone_number": "518-374-9770",
            "fax_number": "518-374-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTO",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.