Nicholas A Cucharale, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6489 Issued in CT

Practice address

2 Stony Hill Rd
Bethel, CT 06801-1063

Phone

(203) 792-2263

Fax

(203) 792-2878

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477583862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011063",
            "telephone_number": "203-792-2263",
            "fax_number": "203-792-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011063",
            "telephone_number": "203-792-2263",
            "fax_number": "203-792-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCHARALE",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "6489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELEPHONE NO",
            "identifier": "2037922263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Steven V Costello, P.T.
• Ashley Nicole Courtney, PA
• Lauren Cronin, M.S., ATC
• James D'Alessandro, PSYD
• Brooke Robyn Dairman, LMSW
• Damian F Galbo DDS PC
• Maria Teresa Daniele
• Marissa Danko, MS. ED

• Periodontics in Bethel, CT
• Providers in Bethel, CT by specialty
• Periodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.