Luciano Domenic Marini, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6804 Issued in CT

Practice address

26 Lakeside Blvd E
Waterbury, CT 06708-2913

Phone

(203) 575-9097

Fax

(203) 575-0824

NPI assigned

Jan 23, 2007

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Luciano D. Marini, DMD LLC

  • General Practice Dentistry
  • Waterbury, CT
  • NPI 1619022639
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235283243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LAKESIDE BLVD E",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082913",
            "telephone_number": "203-575-9097",
            "fax_number": "203-575-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 LAKESIDE BLVD E",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082913",
            "telephone_number": "203-575-9097",
            "fax_number": "203-575-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINI",
        "first_name": "LUCIANO",
        "middle_name": "DOMENIC",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "6804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Marcoux, APRN
• Debra Margison
• Eric D Margolies, PSYD
• Eduardo G Mari, MD
• Teresa Michelle Mariani, M.D.
• Christopher Marino, LPC
• Himilce Marino, MSW
• Teresa Jean Marks, FNP-C, APRN, RN
• Nicole Marques, BCBA
• Jocelyne Martin-Karam, APRN

• Dentist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.