Vincent Monticciolo, D.D.S, M.B.A

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14899 Issued in FL

Practice address

8327 W. Hillsborough Ave
Tampa, FL 33615

Phone

(813) 885-3345

Fax

(813) 885-3117

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jules D Goldstein Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Dental Sedation Centers PLLC

  • Dentist
  • Seminole, FL
  • NPI 1558214437
  NPD Authorized official
• Monticciolo Family and Sedation Dentistry, PA

  • Dental Clinic/Center
  • Tampa, FL
  • NPI 1245501410
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1164555223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8327 W. HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-885-3345",
            "fax_number": "813-885-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8327 W. HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-885-3345",
            "fax_number": "813-885-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTICCIOLO",
        "first_name": "VINCENT",
        "credential": "D.D.S, M.B.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MAI",
            "identifier": "1073646105",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULES",
            "last_name": "GOLDSTEIN",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matt Montgomery, PHARMD
• Nayomi Charmian Montgomery, M.S. CCC-SLP
• Morgan Monthony, DNP, ARNP, FNP-BC
• Elena Monti, LCSW
• Monticciolo Family and Sedation Dentistry, PA
• Miguel Montiel
• Bernardita P. Montilla, REGISTERED NURSE
• Jorge Montoya Romero, LMT
• Leighann B Montoya, APRN
• Miguel A Montoya, MD

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.

Verify at the official NPI Registry.