Louis Frank Clarizio, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

02155 Issued in NH

Practice address

566 Islington St
Portsmouth, NH 03801

Phone

(603) 436-8222

Fax

(603) 433-3299

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 5, 2021 through Apr 5, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Louis F Clarizio DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Portsmouth, NH
  • NPI 1558570986
  NPD (past) Authorized official

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1295799989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MIDDLE ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015022",
            "telephone_number": "603-436-8225",
            "fax_number": "603-433-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 ISLINGTON ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-436-8222",
            "fax_number": "603-433-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARIZIO",
        "first_name": "LOUIS",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ME",
            "license": "DEN3558",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "02155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004947",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST DELTA DENTAL",
            "identifier": "1102155",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Ciurylo, B.S., M.A., D.O.
• Jeanne Civiello
• CJ Physical Therapy and Wellness, LLC
• Thomas P Clairmont Jr., MD
• Destini Clarizio, BS
• Anna Clark
• Melissa A Clark
• Camille Miriam Clement, RN
• Greer Leila Clemons, DC
• Lily Clemons

• Oral and Maxillofacial Surgery (Dentist) in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.