Active NPI
Anthony Emile Chicola, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Pensacola, FL
National Provider Identifier
1417020140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 16683
- Practice address
- 5075 Carpenter Creek Dr
Pensacola, FL 32503-2521 - Phone
- (850) 477-8482
- Fax
- (850) 477-7604
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 16683 | FL | Primary |
Addresses
Primary practice location
5075 Carpenter Creek Dr
Pensacola, FL 32503-2521
Mailing address
5075 Carpenter Creek Dr
Pensacola, FL 32503-2521
Phone (850) 477-7604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 7, 2014 through Apr 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16683 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1417020140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 CARPENTER CREEK DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032521",
"telephone_number": "850-477-7604",
"fax_number": "850-477-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 CARPENTER CREEK DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032521",
"telephone_number": "850-477-8482",
"fax_number": "850-477-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICOLA",
"first_name": "ANTHONY",
"middle_name": "EMILE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "16683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.