Loretta A Ciccia

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Practice address

12 Bennington St
Floor 2
East Boston, MA 02128

Phone

(617) 561-7600

NPI assigned

Nov 19, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1699956664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BENNINGTON ST",
            "address_2": "FLOOR 2",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "02128",
            "telephone_number": "617-561-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BENNINGTON ST",
            "address_2": "FLOOR 2",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "02128",
            "telephone_number": "617-561-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCIA",
        "first_name": "LORETTA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "9777881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny W Chiu
• Laylin Elizabeth Chong Bonilla, LICSW
• Shikha Chopra
• Margareth Y Chua, M.D.
• Karen Sweeney Chun, PA-C, MPH
• Nicole Marie Ciolfi, CNP
• Allison Clancy
• Meaghan Ann Clapp, PA-C
• Charles Clark
• Melissa Jo Ann Clarke, MA, LMHC

• Dental Clinic/Center in East Boston, MA
• Providers in East Boston, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.