Individual provider Active NPI

Elizabeth Sciarrino, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, FL
National Provider Identifier
1942796602
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN23634 Issued in FL
Practice address
7768 Ozark Dr Ste 200
Jacksonville, FL 32256-5891
Phone
(904) 442-6000
NPI assigned
Jul 6, 2018
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23634 FL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN23634 FL Primary

Addresses

Primary practice location

7768 Ozark Dr Ste 200
Jacksonville, FL 32256-5891

Mailing address

1092 Madison Ave
Albany, NY 12208-2248

Other practice location 1

1092 Madison Ave
Albany, NY 12208-2248
Phone (518) 525-2445

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
Master of Science

State licenses

LicenseStateTypeSpecialty
DN23634FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Dental Alliance of Jacksonville Ozark, PLLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

7768 Ozark Dr
Ste 200
Jacksonville, FL 32256
Phone (904) 442-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1942796602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7768 OZARK DR STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565891",
            "telephone_number": "904-442-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1092 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122082248",
            "country_code": "US",
            "telephone_number": "518-525-2445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIARRINO",
        "first_name": "ELIZABETH",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23634",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN23634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.