Individual provider Active NPI

Daniel Robert Cerio, DMD

  • Dentist
  • Utica, NY
National Provider Identifier
1306933312
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042674 Issued in NY
Practice address
1604 Genesee St
Utica, NY 13502-5430
Phone
(315) 735-0131
Fax
(315) 735-0151
NPI assigned
Oct 10, 2006
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 042674 NY Primary

Addresses

Primary practice location

1604 Genesee St
Utica, NY 13502-5430

Mailing address

1604 Genesee St
Utica, NY 13502-5430
Phone (315) 735-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160425001778 NY Order and Referring Only - DentistPractitioner - Dentist 4587688221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042674NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1306933312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025430",
            "telephone_number": "315-735-0131",
            "fax_number": "315-735-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025430",
            "telephone_number": "315-735-0131",
            "fax_number": "315-735-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERIO",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.