Active NPI
Christopher Ciambotti, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Langley Afb, VA
National Provider Identifier
1184618142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS-027208-L
- Practice address
- 76 Nealy Blvd
Langley Afb, VA 23665-2022 - Phone
- (907) 350-8930
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS-027208-L | PA | Primary |
Addresses
Primary practice location
76 Nealy Blvd
Langley Afb, VA 23665-2022
Mailing address
76 Nealy Blvd
Langley Afb, VA 23665-2022
Phone (907) 350-8930
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS-027208-L | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1184618142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 NEALY BLVD",
"city": "LANGLEY AFB",
"state": "VA",
"postal_code": "236652022",
"telephone_number": "907-350-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 NEALY BLVD",
"city": "LANGLEY AFB",
"state": "VA",
"postal_code": "236652022",
"telephone_number": "907-350-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIAMBOTTI",
"first_name": "CHRISTOPHER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS-027208-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Langley Afb, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.