Active NPI
Kenneth Chiusano
- Dentist
- Easton, PA
National Provider Identifier
1033447867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037839
- Practice address
- 2031 Hay Terrace
Easton, PA 18042 - Phone
- (570) 402-4001
- Fax
- (570) 402-4002
- NPI assigned
- Dec 7, 2009
- Last updated
- Dec 7, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS037839 | PA | Primary |
Addresses
Primary practice location
2031 Hay Terrace
Easton, PA 18042
Mailing address
PO Box 200
Old Mill Professional Center, Business RT. 209
Sciota, PA 18354-0210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160216000461 | PA | Order and Referring Only - Dentist | 5597069385 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1033447867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200",
"address_2": "OLD MILL PROFESSIONAL CENTER, BUSINESS RT. 209",
"city": "SCIOTA",
"state": "PA",
"postal_code": "183540210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 HAY TERRACE",
"city": "EASTON",
"state": "PA",
"postal_code": "18042",
"telephone_number": "570-402-4001",
"fax_number": "570-402-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIUSANO",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.