Individual provider Active NPI

Cynthia Mary Micaroni, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Herkimer, NY
National Provider Identifier
1245768589
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
060433 Issued in NY
Practice address
338 E State St
Herkimer, NY 13350
Phone
(315) 866-2344
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 060433 NY Primary

Addresses

Primary practice location

338 E State St
Herkimer, NY 13350

Mailing address

338 E State St
Herkimer, NY 13350-2026
Phone (315) 866-2344

Other practice location 1

29 Pioneer St
Cooperstown, NY 13326-1050
Phone (607) 547-2121

Other practice location 2

10 Dietz St
Oneonta, NY 13820
Phone (607) 431-1021

Other names 1

  • Cynthia Mary Dowsland Former name

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
060433NYMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1245768589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 E STATE ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502026",
            "telephone_number": "315-866-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E STATE ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "13350",
            "telephone_number": "315-866-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Pioneer St",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "NY",
            "postal_code": "133261050",
            "country_code": "US",
            "telephone_number": "607-547-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Dietz St",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "13820",
            "country_code": "US",
            "telephone_number": "607-431-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICARONI",
        "first_name": "CYNTHIA",
        "middle_name": "MARY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "060433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "DOWSLAND",
            "middle_name": "MARY",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.