Nicole Marie Carnicella, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035441 Issued in PA

Practice address

212 Kenlee Drive
Bellefonte, PA 16823-2847

Phone

(814) 355-5254

Fax

(814) 353-0668

NPI assigned

Jul 17, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nicole Carnicella, D.M.D., P.C.

  • General Practice Dentistry
  • Bellefonte, PA
  • NPI 1871862797
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1356369599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 KENLEE DRIVE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232847",
            "telephone_number": "814-355-5254",
            "fax_number": "814-353-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 KENLEE DRIVE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232847",
            "telephone_number": "814-355-5254",
            "fax_number": "814-353-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNICELLA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035743",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Centre County MH Mr Da

• General Practice Dentistry in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.