Matthew D Ficca, DMD, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7216 Issued in NC

Practice address

3325 Springbank LN
Suite 140
Charlotte, NC 28226-3365

Phone

(704) 544-2224

Fax

(704) 544-2259

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1437350071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 SPRINGBANK LN",
            "address_2": "SUITE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263365",
            "telephone_number": "704-544-2224",
            "fax_number": "704-544-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 SPRINGBANK LN",
            "address_2": "SUITE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263365",
            "telephone_number": "704-544-2224",
            "fax_number": "704-544-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICCA",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410412",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "7216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9182627",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen M. Fetzko, PA
• Sarah Feurer
• Yasmina Fialip, LMBT
• Tara Lynn Fiano, RD, LDN
• Diane Michelle Ficarro, PHARM D
• Kristin Anne Ficco, OTR/L
• Fidelis Enterprises, Inc.
• Fidelis Healthcare Services, Inc.
• Rachel Melissa Field, ACSM-RCEP
• Becky Fields

• Periodontics in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.