Active NPI
Thomas Joesph Cipriano, DDS,MS
- Endodontics
- Tempe, AZ
National Provider Identifier
1083788905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3364
- Practice address
- 6611 S Rural Rd Ste 2
Tempe, AZ 85283-3799 - Phone
- (480) 730-1857
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3364 | AZ | Primary |
Addresses
Primary practice location
6611 S Rural Rd Ste 2
Tempe, AZ 85283-3799
Mailing address
16410 S 12TH St Apt 215
Phoenix, AZ 85048-4007
Phone (602) 312-9630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20170328002506 | AZ | Order and Referring Only - Other (Physician) | 2567747819 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Smiles, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083788905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 S 12TH ST APT 215",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850484007",
"telephone_number": "602-312-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 S RURAL RD STE 2",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833799",
"telephone_number": "480-730-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIPRIANO",
"first_name": "THOMAS",
"middle_name": "JOESPH",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "3364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
- Enrique M Cifuentes, Jr., MD
- Cigna Health Care of Arizona Inc. (CMG Tempe Healthcare Center, Tempe)
- Cigna Health Care of Arizona Inc. (EVERNORTH Care Group CJ Harris Multi-Specialty Center)
- David Richard Cilladi, PTA, ATC
- Melissa Cincotta
- Circle of Care LLC
- Adam Cirpili, PHARMD
- Leslie Anne Cisar, N.D.
- Faith Cisneros
- Lucy P Cisneros, RN, CCM
Sources for this page
- 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.