Lisa A Fagioletti, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

G10001153 Issued in DE

Practice address

25 W Commerce St
Smyrna, DE 19977-1463

Phone

(302) 514-9064

Fax

(302) 514-9071

NPI assigned

Feb 8, 2007

Last updated

Feb 14, 2011By the provider in NPPES

Sex

Female

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 DE

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

• Lisa a Fagioletti DMD LLC

  • General Practice Dentistry
  • Smyrna, DE
  • NPI 1720382948
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1679613335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W COMMERCE ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771463",
            "telephone_number": "302-514-9064",
            "fax_number": "302-514-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W COMMERCE ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771463",
            "telephone_number": "302-514-9064",
            "fax_number": "302-514-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGIOLETTI",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000037168",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.