Nicholas John Totalo Jr., DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3776 Issued in CT

Practice address

101 Elizabeth St
Derby, CT 06418-1835

Phone

(203) 735-9393

NPI assigned

Apr 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott J. Rocchio, D.C., LLC

  • Chiropractor
  • Milford, CT
  • NPI 1366767253
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669698411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 RACEBROOK RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251836",
            "telephone_number": "203-397-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELIZABETH ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181835",
            "telephone_number": "203-735-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTALO",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "3776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Thompson, P.T.
• Jessica Lauren Thongparn, RD
• Michael William Tichy, D.M.D.
• Amy Tinney, LCSW
• Joanna Torres
• Twin Peaks Counseling, LLC
• Two Rivers Counseling, LLC
• Daniel Underhill
• Urgent Care of Derby, LLC (PhysicianOne Urgent Care- Derby)
• Rabia Usman, M.D

• Oral and Maxillofacial Surgery (Dentist) in Derby, CT
• Providers in Derby, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.