John S. Carroccia DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1977 Issued in RI

Legal business name

JOHN S. CARROCCIA DDS

Practice address

136 Phenix Ave
Cranston, RI 02920-4259

Phone

(401) 942-4760

Fax

(401) 944-0746

NPI assigned

Sep 16, 2008

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Salvatore Carrocccia, DDS

Title

Owner

Phone

(401) 942-4760

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Salvatore Carroccia, DDS

  • General Practice Dentistry
  • Cranston, RI
  • NPI 1871640268
  NPD (past)
• Elizabeth Sara Costa-Carroccia, DDS

  • Dentist
  • Cranston, RI
  • NPI 1477603264
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1285883165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 PHENIX AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204259",
            "telephone_number": "401-942-4760",
            "fax_number": "401-944-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 PHENIX AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204259",
            "telephone_number": "401-942-4760",
            "fax_number": "401-944-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. CARROCCIA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "CARROCCCIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-942-4760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa M Jerominek, MS, RD, CDOE
• Jhung Woock Jhung, MD
• Bethania Ebenezer Jimenez Meregildo
• Tiffany Marie Jimenez, L.C.S.W.
• John a Pella M D LTD
• Brenda Johnson
• Jennifer Ellyn Johnson, PH.D.
• Nicole Johnson
• Stephanie Johnson, M.A. B.C.B.A
• Johnson's Counseling Services

• General Practice Dentistry in Cranston, RI
• Providers in Cranston, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.