Active NPI
David John Scanavino, M.D.
- Urology Physician
- Denver, CO
National Provider Identifier
1962815266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 23061
- Practice address
- 1720 Wazee St Unit 6C
Denver, CO 80202-1670 - Phone
- (303) 374-4770
- NPI assigned
- Jun 4, 2014
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 23061 | CO | Primary |
Addresses
Primary practice location
1720 Wazee St Unit 6C
Denver, CO 80202-1670
Mailing address
1720 Wazee St Unit 6C
Denver, CO 80202-1670
Phone (303) 374-4770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23061 | CO | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1962815266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 WAZEE ST UNIT 6C",
"city": "DENVER",
"state": "CO",
"postal_code": "802021670",
"telephone_number": "303-374-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 WAZEE ST UNIT 6C",
"city": "DENVER",
"state": "CO",
"postal_code": "802021670",
"telephone_number": "303-374-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANAVINO",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "23061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.