Organization Active NPI

Marciano Dental Group

  • Dentist
  • Bonita Springs, FL
National Provider Identifier
1437424710
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16569 Issued in FL
Legal business name
MARCIANO DENTAL GROUP
Practice address
26711 Dublin Woods Cir
Bonita Springs, FL 34135-7245
Phone
(239) 947-6610
Fax
(239) 405-8642
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Nicholas J MarcianoNPI 1043438278
Title
Owner
Phone
(239) 947-6610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN16569 FL Primary

Addresses

Primary practice location

26711 Dublin Woods Cir
Bonita Springs, FL 34135-7245

Mailing address

26711 Dublin Woods Cir
Bonita Springs, FL 34135-7245
Phone (239) 947-6610

National Provider Directory

National Provider Directory

Locations

26711 Dublin Woods Cir
Bonita Springs, FL 34135
Phone (239) 947-6610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1437424710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 DUBLIN WOODS CIR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357245",
            "telephone_number": "239-947-6610",
            "fax_number": "239-405-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 DUBLIN WOODS CIR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357245",
            "telephone_number": "239-947-6610",
            "fax_number": "239-405-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIANO DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-947-6610",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.