Individual provider Active NPI

Dean Louis Cirocco, D.M.D.

  • General Practice Dentistry
  • Center Valley, PA
National Provider Identifier
1235146457
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031336L Issued in PA
Practice address
5280 Route 309
Center Valley, PA 18034-8219
Phone
(610) 282-1278
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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 DS031336L PA Primary

Addresses

Primary practice location

5280 Route 309
Center Valley, PA 18034-8219

Mailing address

5280 Route 309
Center Valley, PA 18034-8219
Phone (610) 282-1278

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
I20160616001308 PA Order and Referring Only - DentistPractitioner - Dentist 9830480144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cirocco Dental Center PC CurrentSince Sep 26, 2002 Accepting new patients

Locations

5280 Route 309
Center Valley, PA 18034
Phone (610) 282-1278

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1235146457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 ROUTE 309",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348219",
            "telephone_number": "610-282-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 ROUTE 309",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348219",
            "telephone_number": "610-282-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIROCCO",
        "first_name": "DEAN",
        "middle_name": "LOUIS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031336L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.