Active NPI
Alexander Joseph Caniglia, MD
- Facial Plastic Surgery Physician
- Carmel, IN
National Provider Identifier
1023513553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 01089718A
- Practice address
- 170 W 106TH St
Carmel, IN 46290-1004 - Phone
- (317) 575-0330
- NPI assigned
- Mar 27, 2018
- Last updated
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 01089718A | IN | Primary |
Addresses
Primary practice location
170 W 106TH St
Carmel, IN 46290-1004
Mailing address
9290 E Thompson Peak Pkwy Unit 489
Scottsdale, AZ 85255-4519
Phone (602) 377-2504
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01089718A | Other | IN | INDIANA LICENSE NUMBER |
| 01089718B | Other | IN | IN-CSR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01089718A | IN | MD | Facial Plastic Surgery Physician |
Interoperability endpoints
- acaniglia17852@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1023513553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9290 E THOMPSON PEAK PKWY UNIT 489",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554519",
"telephone_number": "602-377-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W 106TH ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "462901004",
"telephone_number": "317-575-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANIGLIA",
"first_name": "ALEXANDER",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "IN",
"license": "01089718A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA LICENSE NUMBER",
"identifier": "01089718A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN-CSR",
"identifier": "01089718B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.