Individual provider Active NPI

John Paul Caceci, DDS

  • General Practice Dentistry
  • New Milford, CT
National Provider Identifier
1235219528
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CT6706 Issued in CT
Practice address
30 Bridge Street
Suite 303
New Milford, CT 06776
Phone
(860) 354-9600
Fax
(860) 355-4072
NPI assigned
Oct 17, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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 CT6706 CT Primary

Addresses

Primary practice location

30 Bridge Street
Suite 303
New Milford, CT 06776

Mailing address

30 Bridge Street
Suite 303
New Milford, CT 06776
Phone (860) 354-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160209001001 CT Order and Referring Only - DentistPractitioner - Dentist 6305146234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CT6706CTMDGeneral Practice Dentistry
6706CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J & John P Caceci PTRS 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1235219528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRIDGE STREET",
            "address_2": "SUITE 303",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-354-9600",
            "fax_number": "860-355-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BRIDGE STREET",
            "address_2": "SUITE 303",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-354-9600",
            "fax_number": "860-355-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACECI",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "CT6706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.