Individual provider Active NPI

John Joseph Cottone, D.D.S.

  • General Practice Dentistry
  • Scranton, PA
National Provider Identifier
1073654414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS024465L Issued in PA
Practice address
1344 N Washington Ave
Scranton, PA 18509-2852
Phone
(570) 344-4318
Fax
(570) 344-5680
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024465L PA Primary

Addresses

Primary practice location

1344 N Washington Ave
Scranton, PA 18509-2852

Mailing address

1344 N Washington Ave
Scranton, PA 18509-2852
Phone (570) 344-4318

Other identifiers 1

IdentifierTypeStateIssuer
076686OtherPAUNITED CONCORDIA INSURANC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723007272 PA Practitioner - Oral Surgery 6709199417 Practice locations: Scranton, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS024465LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073654414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 N WASHINGTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092852",
            "telephone_number": "570-344-4318",
            "fax_number": "570-344-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 N WASHINGTON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092852",
            "telephone_number": "570-344-4318",
            "fax_number": "570-344-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTONE",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024465L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "076686",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.