Individual provider Active NPI

Tony Joseph D'Occhio, D.M.D

  • General Practice Dentistry
  • Madison, CT
National Provider Identifier
1093947327
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011078 Issued in CT
Practice address
25 Durham Rd
Madison, CT 06443-2631
Phone
(203) 245-3013
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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 011078 CT Primary

Addresses

Primary practice location

25 Durham Rd
Madison, CT 06443-2631

Mailing address

25 Durham Rd
Madison, CT 06443-2631
Phone (203) 245-3013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160427000187 CT Order and Referring Only - DentistPractitioner - Dentist 4486953445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11078CTMDClinical Social Worker
011078CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brian K Sawchuk DDS and Tony J. D'Occhio DMD,LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1093947327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DURHAM RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432631",
            "telephone_number": "203-245-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DURHAM RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432631",
            "telephone_number": "203-245-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'OCCHIO",
        "first_name": "TONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.