Individual provider Active NPI

Thomas Joesph Cipriano, DDS,MS

  • Endodontics
  • Tempe, AZ
National Provider Identifier
1083788905
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
3364 Issued in AZ
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170328002506 AZ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2567747819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew 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

Sources for this page

Verify at the official NPI Registry.