Active NPI
Daniella Rizzo
- Dentist
- Worcester, MA
National Provider Identifier
1083078232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858245
- Practice address
- 129 Lincoln St
Worcester, MA 01605-2402 - Phone
- (508) 754-5891
- NPI assigned
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DN1858245 | MA | Primary |
Addresses
Primary practice location
129 Lincoln St
Worcester, MA 01605-2402
Mailing address
145 Front St Unit 1339
Worcester, MA 01608-1458
Phone (516) 554-1910
Other practice location 1
200 Old Country Rd
Suite 460
Mineola, NY 11501-4235
Phone (516) 663-2039
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858245 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1083078232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 FRONT ST UNIT 1339",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081458",
"telephone_number": "516-554-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052402",
"telephone_number": "508-754-5891"
}
],
"practiceLocations": [
{
"address_1": "200 Old Country Rd",
"address_2": "Suite 460",
"address_purpose": "LOCATION",
"city": "Mineola",
"state": "NY",
"postal_code": "115014235",
"country_code": "US",
"telephone_number": "516-663-2039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIZZO",
"first_name": "DANIELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.