Individual provider Active NPI

John Cipollina, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Yonkers, NY
National Provider Identifier
1124539663
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
034484 Issued in NY
Practice address
687 Yonkers Ave
Yonkers, NY 10704-2673
Phone
(914) 969-0303
Fax
(914) 969-3003
NPI assigned
Oct 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 034484 NY Primary

Addresses

Primary practice location

687 Yonkers Ave
Yonkers, NY 10704-2673

Mailing address

687 Yonkers Ave
Yonkers, NY 10704-2673
Phone (914) 969-0303

Other practice location 1

320 Manville Rd
Pleasantville, NY 10570-2146
Phone (914) 747-0303

Other names 1

  • Dr. John Cipollina Professional name

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

LicenseStateTypeSpecialty
034484NYMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124539663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042673",
            "telephone_number": "914-969-0303",
            "fax_number": "914-969-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042673",
            "telephone_number": "914-969-0303",
            "fax_number": "914-969-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Manville Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasantville",
            "state": "NY",
            "postal_code": "105702146",
            "country_code": "US",
            "telephone_number": "914-747-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIPOLLINA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "034484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CIPOLLINA",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.