Individual provider Active NPI

Robert L. Cieri, D.M.D.

  • General Practice Dentistry
  • Georgetown, CT
National Provider Identifier
1205082096
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
005776 Issued in CT
Practice address
73 Redding Road
Unit 5
Georgetown, CT 06829
Phone
(203) 544-9580
NPI assigned
Aug 12, 2008
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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 005776 CT Primary

Addresses

Primary practice location

73 Redding Road
Unit 5
Georgetown, CT 06829

Mailing address

35 Orchard Dr
Redding, CT 06896-2911
Phone (203) 938-0211

Other identifiers 1

IdentifierTypeStateIssuer
002057760MedicaidCT

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

LicenseStateTypeSpecialty
005776CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1205082096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ORCHARD DR",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068962911",
            "telephone_number": "203-938-0211",
            "fax_number": "203-834-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 REDDING ROAD",
            "address_2": "UNIT 5",
            "city": "GEORGETOWN",
            "state": "CT",
            "postal_code": "06829",
            "telephone_number": "203-544-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIERI",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "005776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002057760",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.