Peter William Innacola, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040000 Issued in PA

Practice address

1670 Lincoln Hwy E
Carano Dental GRP
Lancaster, PA 17602-2663

Phone

(717) 394-1067

NPI assigned

May 13, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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.

• Angstadt & Associates DMD

  • General Practice Dentistry
  • Lancaster, PA
  • NPI 1770191678

  General Practice

  NPD (past)
• Marie Petters Kelly

  • Dental Clinic/Center
  • Lancaster, PA
  • NPI 1114417045
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1386080893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 LINCOLN HWY E",
            "address_2": "CARANO DENTAL GRP",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022663",
            "telephone_number": "717-394-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 LINCOLN HWY E",
            "address_2": "CARANO DENTAL GRP",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022663",
            "telephone_number": "717-394-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNACOLA",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Options LLC
• Infection Specialist of Lancaster P.C.
• Infinity Eye Care, PC
• Brittany Ingold, MSW, LSW
• Inlight Expressway LLC
• Caitlin Inners, M.D.
• Innovative Medical Institute, LLC
• Integrated Foot and Ankle Specialists of PA LLC
• Intersectional Life Counseling and Psychology LLC
• Peter Intoccia, BH

• All providers in Lancaster, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.