Individual provider Active NPI

Caroline Esther Ciotti, D.M.D.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1073714135
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401008366 Issued in VA
Practice address
4512 Old English Cir
Virginia Beach, VA 23455-5520
Phone
(757) 460-4512
NPI assigned
May 29, 2007
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401008366 VA Primary

Addresses

Primary practice location

4512 Old English Cir
Virginia Beach, VA 23455-5520

Mailing address

4512 Old English Cir
Virginia Beach, VA 23455-5520
Phone (757) 460-4512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220820000156 VA Order and Referring Only - DentistPractitioner - Dentist 8022491281

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1073714135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 OLD ENGLISH CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555520",
            "telephone_number": "757-460-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 OLD ENGLISH CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555520",
            "telephone_number": "757-460-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOTTI",
        "first_name": "CAROLINE",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.