Scott Isao Nabeta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43717 Issued in CA

Practice address

2421 Park Blvd
Suite #a-202
Palo Alto, CA 94306-1998

Phone

(650) 321-0915

Fax

(650) 321-9429

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 21, 2016 through Apr 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1861519290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 PARK BLVD",
            "address_2": "SUITE #A-202",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061998",
            "telephone_number": "650-321-0915",
            "fax_number": "650-321-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 PARK BLVD",
            "address_2": "SUITE #A-202",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061998",
            "telephone_number": "650-321-0915",
            "fax_number": "650-321-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABETA",
        "first_name": "SCOTT",
        "middle_name": "ISAO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Myers
• Rachael A. Myers
• Cynthia Myo, DNP
• Sarah Nabai
• Urs Hendrik Naber, MD
• Patricia A Nachin
• Daniel David Nachreiner
• Fannie Nadeau, M.D.
• Helen Ruth Nadel, MD
• Sonia Nader, MD

• General Practice Dentistry in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.