Individual provider Active NPI

Thomas Albert Cioni, D.M.D.

  • Dentist
  • Staunton, IL
National Provider Identifier
1174722482
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
114 N Hibbard St
Staunton, IL 62088-1347
Phone
(618) 635-2522
NPI assigned
Jul 16, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary

Addresses

Primary practice location

114 N Hibbard St
Staunton, IL 62088-1347

Mailing address

114 N Hibbard St
Staunton, IL 62088-1347
Phone (618) 635-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160307002350 IL Order and Referring Only - DentistPractitioner - Dentist 9335445089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019019324ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1174722482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N HIBBARD ST",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881347",
            "telephone_number": "618-635-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N HIBBARD ST",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881347",
            "telephone_number": "618-635-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIONI",
        "first_name": "THOMAS",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, IL

Sources for this page

Verify at the official NPI Registry.