Charles Anthony Dicecca, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

039257 Issued in MA

Practice address

300 Congress Street
Suite308
Quincy, MA 02169

Phone

(617) 773-7457

Fax

(617) 773-0299

NPI assigned

Apr 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1336105022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONGRESS STREET",
            "address_2": "SUITE 308",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-7457",
            "fax_number": "617-773-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONGRESS STREET",
            "address_2": "SUITE308",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-773-7457",
            "fax_number": "617-773-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICECCA",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "039257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069237",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C20249",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Health Corporation (HealthSouth Diag. Ctr - Quincy)
• Mamadou Alpha Diallo
• Amanda Cassaro Diaz, M.S., CCC-SLP
• Laura M Diaz, PSY.D.
• Marlo Diaz, M.A.
• Amelia M Dicicco, M.S.
• Gregory Dierks
• Michael Philip Dimarzio, D.M.D
• Michele R Dimattia, RN
• Jennifer E Dimauro

• Orthopaedic Surgery Physician in Quincy, MA
• Providers in Quincy, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.