Individual provider Active NPI

Cecilia T Diggin, DMD

  • General Practice Dentistry
  • Stony Brook, NY
National Provider Identifier
1316152820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049462-1 Issued in NY
Practice address
100 Patriots Road
Medical Suite
Stony Brook, NY 11790-3300
Phone
(631) 444-8526
Fax
(631) 444-8680
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049462-1 NY Primary

Addresses

Primary practice location

100 Patriots Road
Medical Suite
Stony Brook, NY 11790-3300

Mailing address

3 Thornwood Cir
East Setauket, NY 11733-1840
Phone (716) 573-1814

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
049462-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316152820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 THORNWOOD CIR",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331840",
            "telephone_number": "716-573-1814",
            "fax_number": "631-444-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS ROAD",
            "address_2": "MEDICAL SUITE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903300",
            "telephone_number": "631-444-8526",
            "fax_number": "631-444-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGIN",
        "first_name": "CECILIA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049462-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.