Joseph James Micucci, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DSO26302-L Issued in PA

Practice address

704 Lincoln Ave
Pittsburgh, PA 15202-3407

Phone

(412) 761-0202

Fax

(412) 761-0732

NPI assigned

Mar 20, 2013

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Micucci Family Dentistry PC

  • General Practice Dentistry
  • Pittsburgh, PA
  • NPI 1598986416
  NPD (past) Authorized official

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1497097109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LINCOLN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023407",
            "telephone_number": "412-761-0202",
            "fax_number": "412-761-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LINCOLN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023407",
            "telephone_number": "412-761-0202",
            "fax_number": "412-761-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICUCCI",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO26302-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Louise Mickle, BA
• Timothy John Mickus, MD
• Kristen Micsky, OT
• Micucci Family Dentistry PC
• Bryan James Micucci, DMD
• Kathryn Elizabeth Micucci, MS, RD, LDN
• Mid-South Home Care Services, LLC
• Lauren E Middleton-Hoang, D.O.
• Abby Middleton, LMSW
• Donald B Middleton, MD

• Dentist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.