Individual provider Active NPI

Joseph M. Cicchini, D.M.D.

  • General Practice Dentistry
  • Monessen, PA
National Provider Identifier
1184684284
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-026381-L Issued in PA
Practice address
15 Eastgate
Monessen, PA 15062-1387
Phone
(724) 684-4020
Fax
(724) 684-6406
NPI assigned
Mar 24, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-026381-L PA Primary

Addresses

Primary practice location

15 Eastgate
Monessen, PA 15062-1387

Mailing address

PO Box 762
Belle Vernon, PA 15012-0762
Phone (724) 684-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231207000876 PA Order and Referring Only - DentistPractitioner - Dentist 5395054431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-026381-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cicchini Dental, LLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1184684284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150120762",
            "telephone_number": "724-684-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EASTGATE",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621387",
            "telephone_number": "724-684-4020",
            "fax_number": "724-684-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCHINI",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-026381-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monessen, PA

Sources for this page

Verify at the official NPI Registry.