John M Ciccarelli, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

04-30147 Issued in KS

Practice address

23351 Prairie Star Pkwy Ste 275
Lenexa, KS 66227-6201

Phone

(913) 322-2700

Fax

(913) 322-2700

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Premier Spine Care, P.a.

  • Orthopaedic Surgery of the Spine Physician
  • Overland Park, KS
  • NPI 1376292318
  NPD Authorized official
• Orthopaedic Associates, PA

  • Orthopaedic Surgery Physician
  • Towson, MD
  • NPI 1477667707
  NPD (past)
• Orthopaedic Associates, PA

  • Customized Equipment (DME)
  • Baltimore, MD
  • NPI 1902099054
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1205884889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26250",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662256250",
            "telephone_number": "913-322-2700",
            "fax_number": "913-322-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE 275",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662276201",
            "telephone_number": "913-322-2700",
            "fax_number": "913-322-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 W 165th St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662233022",
            "country_code": "US",
            "telephone_number": "913-322-2700",
            "fax_number": "913-322-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KS",
            "license": "04-30147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Michael Christ, LSCSW
• Ryan Davis Christensen, M.D.
• Christopher Timmer Dcpa
• Mary Ann Christopher, PHARM.D.
• Kristin Church, PT, DPT, ATC
• City of Lenexa
• Elaine Carol Clancy, RPH
• Kira Clark
• Tony Dale Clark
• Rebecca Clary, DNP

• Orthopaedic Surgery of the Spine Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Orthopaedic Surgery of the Spine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.