Active NPI
Thomas Banning Scarfe Jr., D.D.S., B.S.
- Dentist
- San Diego, CA
National Provider Identifier
1891002317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 53866
- Practice address
- 11777 Bernardo Plaza CT
Suite 101
San Diego, CA 92128-2405 - Phone
- (858) 376-1440
- NPI assigned
- Sep 3, 2010
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 53866 | CA | Primary |
Addresses
Primary practice location
11777 Bernardo Plaza CT
Suite 101
San Diego, CA 92128-2405
Mailing address
11777 Bernardo Plaza CT
Suite 101
San Diego, CA 92128-2405
Phone (858) 376-1440
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53866 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1891002317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11777 BERNARDO PLAZA CT",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282405",
"telephone_number": "858-376-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11777 BERNARDO PLAZA CT",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282405",
"telephone_number": "858-376-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARFE",
"first_name": "THOMAS",
"middle_name": "BANNING",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S., B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-03",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.