Eric Chiccone, MD, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

110954 Issued in CA

Practice address

1072 Aviation Blvd
Hermosa Beach, CA 90254-4024

Phone

(310) 318-3333

NPI assigned

Mar 2, 2020

Last updated

Jun 16, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: echiccone874935@direct.memorialcare.org

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.

• Donlevy & Estess Oral Surgery Group

  • Oral and Maxillofacial Surgery (Dentist)
  • Hermosa Beach, CA
  • NPI 1942395280
  NPD (past)
• Telles Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Long Beach, CA
  • NPI 1114892775
  NPD (past)
• Oral & Maxillofacial Assoc of Nutley

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Nutley, NJ
  • NPI 1457417495
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1174157945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544024",
            "telephone_number": "310-318-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544024",
            "telephone_number": "310-318-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 S Sepulveda Blvd Ste 709",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900453818",
            "country_code": "US",
            "telephone_number": "323-859-1251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 Culver Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902323174",
            "country_code": "US",
            "telephone_number": "310-928-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHICCONE",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "110954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.