Individual provider Active NPI

Alexander Joseph Caniglia, MD

  • Facial Plastic Surgery Physician
  • Carmel, IN
National Provider Identifier
1023513553
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
01089718A Issued in IN
Practice address
170 W 106TH St
Carmel, IN 46290-1004
Phone
(317) 575-0330
NPI assigned
Mar 27, 2018
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01089718AOtherININDIANA LICENSE NUMBER
01089718BOtherININ-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

LicenseStateTypeSpecialty
01089718AINMDFacial Plastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.