Anthony J Occhietti, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015830 Issued in MI

Practice address

225 Kent Street
Iron Mountain, MI 49801

Phone

(906) 774-3032

Fax

(906) 774-4018

NPI assigned

Dec 27, 2007

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 MI

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.

• Occhietti Selden Dental PC

  • Dentist
  • Iron Mountain, MI
  • NPI 1760528475
  NPD (past) Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1609050533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "address_2": "OCCHIETTI SELDEN DENTAL PC",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "49801",
            "telephone_number": "906-774-3032",
            "fax_number": "906-774-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 KENT STREET",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "49801",
            "telephone_number": "906-774-3032",
            "fax_number": "906-774-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCCHIETTI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwoods Imaging Associates PC
• John E. Nowicki, D.C.
• Brenda Sue Nurmela, RD
• Anthony Joseph O'Sickey, PHD
• Occhietti Selden Dental PC
• Maria Occhietti, MD
• Michael J Occhietti, MD
• Selena Theresa Okler, RN
• Janelle Marie Olkkonen
• Randy Shane Olli, MD

• General Practice Dentistry in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.