Joseph Michael Cinelli, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

35096 Issued in TX

Practice address

8450 Park Vista Blvd
Fort Worth, TX 76137-5731

Phone

(817) 514-1717

Fax

(817) 704-4771

NPI assigned

Jul 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• FPDS Lyo PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Worth, TX
  • NPI 1346858198
  NPD (past)
• Lustig and Young Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saginaw, TX
  • NPI 1134986680
  NPD (past)
• Lustig and Young Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Haslet, TX
  • NPI 1609633155
  NPD (past)
• Board of Regents, Nevada System of Higher Education

  • Student in an Organized Health Care Education/Training Program
  • Las Vegas, NV
  • NPI 1053414862
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1184177198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 PARK VISTA BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375731",
            "telephone_number": "817-514-1717",
            "fax_number": "817-704-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 PARK VISTA BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375731",
            "telephone_number": "817-514-1717",
            "fax_number": "817-704-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Boyd Rd",
            "address_purpose": "LOCATION",
            "city": "Azle",
            "state": "TX",
            "postal_code": "760202517",
            "country_code": "US",
            "telephone_number": "817-514-1717",
            "fax_number": "817-704-4771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S Main St",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762487029",
            "country_code": "US",
            "telephone_number": "817-514-1717",
            "fax_number": "817-704-4771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 W Bailey Boswell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "TX",
            "postal_code": "761791020",
            "country_code": "US",
            "telephone_number": "817-514-1717",
            "fax_number": "817-704-4771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Fm 156 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Haslet",
            "state": "TX",
            "postal_code": "760523626",
            "country_code": "US",
            "telephone_number": "817-514-1717",
            "fax_number": "817-704-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CINELLI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "LL-426-16",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NV",
            "license": "LL-426-16",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "35096",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "LL-426-16",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsea F Ciavaglia, A-SLP
• Jonathan J Cichocki, M.D.
• Luke Alexander Cielonko, D.O.
• Mehmet Cilingiroglu, M.D.
• Michael Lewis Cimo, MD
• Emily Ruth Cinque, LPC, M.ED
• Anna Ciolfi, DPT
• Ciondria Jones
• Anthony J Cipriano, DMD, MPH
• Elyse Cipriano

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.