Individual provider Active NPI

Anne Stuccio, DDS, MSC

  • General Practice Dentistry
  • Lancaster, PA
National Provider Identifier
1467695171
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035577 Issued in PA
Practice address
1670 Lincoln Hwy E
Lancaster, PA 17602-2663
Phone
(717) 394-1067
NPI assigned
Apr 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS035577 PA Primary

Addresses

Primary practice location

1670 Lincoln Hwy E
Lancaster, PA 17602-2663

Mailing address

206 Oliver Dr
Chester Springs, PA 19425-3695
Phone (610) 405-6883

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150608002655 PA Order and Referring Only - DentistPractitioner - Dentist 5597086199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS035577PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marie Petters Kelly Past Accepting new patients
Angstadt & Associates DMD General Practice PastSince Jul 27, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1467695171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OLIVER DR",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194253695",
            "telephone_number": "610-405-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 LINCOLN HWY E",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022663",
            "telephone_number": "717-394-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCCIO",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.