Connie F. Cicorelli, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

G1-0000958 Issued in DE

Practice address

1401 Silverside Rd Cicorelli Dental Group
Suite 2a
Wilmington, DE 19810-4400

Phone

(302) 798-5797

Fax

(302) 798-9232

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Connie F. Cicorelli Professional name

Medicare fee-for-service enrollment

Enrolled in DE

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

Locations

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.

• Exceptional Dentistry, LLC

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1831987957
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1306932546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SILVERSIDE RD",
            "address_2": "SUITE 2A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104400",
            "telephone_number": "302-798-5797",
            "fax_number": "302-798-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SILVERSIDE RD CICORELLI DENTAL GROUP",
            "address_2": "SUITE 2A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104400",
            "telephone_number": "302-798-5797",
            "fax_number": "302-798-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICORELLI",
        "first_name": "CONNIE",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0000958",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0000958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200110331",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "CICORELLI",
            "middle_name": "F.",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natasha Cichani
• Shaina Cichani
• Marko Cichanowsky, PHARMD
• Bridget Cichon
• Mariah Cicioni, MD
• Walter J. Ciecko Jr., PH.D.
• Alexis Ciemny
• Sarah Elizabeth Cifone, PT, DPT
• Mildred Grace Cilento, OT
• Joseph Anthony Cincotta, LPCMH

• Dentist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.