Active NPI
Joel C Scalera, DDS
- Dentist
- Melbourne, FL
National Provider Identifier
1902246226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10620
- Practice address
- 33 Suntree PL
Suite a
Melbourne, FL 32940-7602 - Phone
- (321) 259-3283
- NPI assigned
- Jul 1, 2013
- 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 | 10620 | FL | Primary |
Addresses
Primary practice location
33 Suntree PL
Suite a
Melbourne, FL 32940-7602
Mailing address
3945 Wild Pine LN
Merritt Island, FL 32952-6218
Phone (321) 259-3283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716003297 | FL | Order and Referring Only - Dentist | 0042523268 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10620 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DJ Scalera Jr DDS PA | Dentist | Past | Accepting new patients |
| Joel Scalera DDS PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Melbourne, FL
- NPI 1629082037
-
- Dentist
- Melbourne, FL
- NPI 1306951967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1902246226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 WILD PINE LN",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329526218",
"telephone_number": "321-259-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 SUNTREE PL",
"address_2": "SUITE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407602",
"telephone_number": "321-259-3283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALERA",
"first_name": "JOEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-01",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "10620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.