Nicholas Joseph Marciano, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

16569 Issued in FL

Practice address

3300 Bonita Beach Rd
117
Bonita Springs, FL 34134-4162

Phone

(239) 947-6610

Fax

(239) 947-3247

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Marciano Dental Group

  • Dentist
  • Bonita Springs, FL
  • NPI 1437424710
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043438278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BONITA BEACH RD.",
            "address_2": "117",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344162",
            "telephone_number": "239-591-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BONITA BEACH RD",
            "address_2": "117",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344162",
            "telephone_number": "239-947-6610",
            "fax_number": "239-947-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIANO",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "16569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Steven Maltais
• Robert Vincent Mandraccia, MD
• Denise L Manzo, HIS
• Maple Tree Home Health, Inc.
• Marciano Dental Group
• Margaret a Thomson LCSW
• Margo English, LCSW, LLC
• Mark E Petrites MD PA
• Mark Goldstein, MD, PA
• Mark H Montgomery MD PA

• Dentist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Dentist in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.