Nicole H Mariano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10890 Issued in CT

Practice address

20 Woodside Ave
Middlebury, CT 06762-2857

Phone

(203) 574-1725

NPI assigned

Jul 23, 2013

Last updated

Feb 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 CT

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

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.

• Tribury Dental, LLC

  • Dental Clinic/Center
  • Waterbury, CT
  • NPI 1831594910
  Authorized official Same address or phone

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424476800000",
    "number": "1467894139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WOODSIDE AVE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622857",
            "telephone_number": "203-574-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WOODSIDE AVE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622857",
            "telephone_number": "203-574-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "NICOLE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2015-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LT Speech and Language Therapy
• Elizabeth Marie Lucchesi
• Molly Grace Ludwig
• Joy Kathleen Lunan, D.D.S.
• Irina Magidina, M.D.
• Catherine Ann Marini, MS, OTR
• Amber Elizabeth Marino, PT
• Patricia Marie Marriott, PA-C, MPAS
• Ami S Marshall, APRN
• Alicia Martin, MSPT

• General Practice Dentistry in Middlebury, CT
• Providers in Middlebury, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; 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.