Brian William James Cicero, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04305 Issued in NH

Practice address

2837 Lafayette Rd
Portsmouth, NH 03801-5648

Phone

(603) 436-6997

NPI assigned

May 29, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Practice roles

Interoperability endpoints

• Direct secure messaging: cicero.brian.wdh@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wentworth Douglass Hospital

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1528687829
  NPD
• Coastal Dental Associates, PLLC

  • General Practice Dentistry
  • Portsmouth, NH
  • NPI 1780700450
  NPD (past)
• Magdalena Soutcheva DMD PC D/B/a Coastal Dental Associates

  • Point of Service
  • Portsmouth, NH
  • NPI 1417401878
  NPD (past)

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496016000000",
    "number": "1437687977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 IDLEWOOD LN",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039045515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 LAFAYETTE RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015648",
            "telephone_number": "603-436-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERO",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-29",
        "last_updated": "2017-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Christensen
• Emily Christie, RN
• Christyn Sieve PSYD Psychological Services PLLC
• Yoo NA Chun, MD
• Kimberlee I Chute, PA-C
• Mary Rose Cieslik, LPN
• Michael Scott Cinilia, PA-C
• Khadijah M. Cisse
• City of Portsmouth New Hampshire (City of Portsmouth Fire Department)
• William Ciurylo, B.S., M.A., D.O.

• General Practice Dentistry in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2017; 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.