Individual provider Active NPI

Nicole Madeline Cucchi, DDS

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1336707728
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11388 Issued in NC
Practice address
431 Keisler Dr Ste 200
Cary, NC 27518-7064
Phone
(919) 859-1330
NPI assigned
May 31, 2019
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 11388 NC Primary

Addresses

Primary practice location

431 Keisler Dr Ste 200
Cary, NC 27518-7064

Mailing address

1911 Falls Valley Dr Ste 107
Raleigh, NC 27615-2496
Phone (919) 327-1770

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
11388NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond M Ferri, DDS, PA PastSince Apr 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1336707728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 FALLS VALLEY DR STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152496",
            "telephone_number": "919-327-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 KEISLER DR STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187064",
            "telephone_number": "919-859-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCHI",
        "first_name": "NICOLE",
        "middle_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.