Active NPI
Michael P Ficociello DDS PC
- General Practice Dentistry
- Boston, MA
National Provider Identifier
1114109345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MICHAEL P FICOCIELLO DDS PC
- Practice address
- 10 Tremont St
Boston, MA 02108 - Phone
- (617) 523-2459
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael P Ficociello, DENTIST
- Title
- Owner
- Phone
- (617) 523-2459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
10 Tremont St
Boston, MA 02108
Mailing address
10 Tremont St
Boston, MA 02108
National Provider Directory
National Provider DirectoryLocations
10 Tremont St
Boston, MA 02108
Phone (617) 523-2459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1114109345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TREMONT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TREMONT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02108",
"telephone_number": "617-523-2459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL P FICOCIELLO DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "FICOCIELLO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-523-2459",
"authorized_official_credential": "DENTIST"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.