Anthony Frank Chibbaro, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2451 Issued in SC

Practice address

316 N. Wheeler Ave.
Prosperity, SC 29127-0420

Phone

(803) 364-2726

Fax

(803) 364-2878

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mid-Carolina Dental Care, Inc

  • Dentist
  • Prosperity, SC
  • NPI 1073050639
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023178696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291270420",
            "telephone_number": "803-364-2726",
            "fax_number": "803-364-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N. WHEELER AVE.",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291270420",
            "telephone_number": "803-364-2726",
            "fax_number": "803-364-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIBBARO",
        "first_name": "ANTHONY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZ2451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayce Kozma Bragg, MA, LPC, LAC
• Brannon Family Chiropractic LLC
• Carolina Kids Early Intervention LLC
• Angela Boland Carraway, MCD, CCC-SLP
• Melissa Sue Carter
• Rhonda L Cook, FNP
• Dana Crawford
• Lauren Svensen Daniels, APRN FNP-C
• Sandra Sue Davidson, MA; CCC-SLP
• William M Dixon III, MD

• General Practice Dentistry in Prosperity, SC
• Providers in Prosperity, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.