Individual provider Active NPI

Michael John Apicella, DDS

  • Endodontics
  • Wilmington, NC
National Provider Identifier
1528038650
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
08815 Issued in MD
Practice address
3866 Floating Bridge TRL
Wilmington, NC 28412-2389
Phone
(301) 915-4658
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 18434 TX
Endodontics 1223E0200X 08815 MD Primary
Endodontics 1223E0200X 9828 NC

Addresses

Primary practice location

3866 Floating Bridge TRL
Wilmington, NC 28412-2389

Mailing address

6837 Normandy Drive
BLDG 6-USA Dentac
Ft Bragg, NC 28310-7302
Phone (910) 643-2196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210803001856 NC Practitioner - Dentist 4587068218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18434TXMDProfessional Counselor
9828NCMDPharmacist
08815MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Jun 12, 2021 Accepting new patients
East Carolina University CurrentSince Jun 12, 2021 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 3

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528038650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 NORMANDY DRIVE",
            "address_2": "BLDG 6-USA DENTAC",
            "city": "FT BRAGG",
            "state": "NC",
            "postal_code": "283107302",
            "telephone_number": "910-643-2196",
            "fax_number": "910-396-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 FLOATING BRIDGE TRL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122389",
            "telephone_number": "301-915-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APICELLA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "18434",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "08815",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "9828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.