John A. Cianciola I, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D008959 Issued in AZ

Practice address

20280 N 59TH Ave Ste 104
Glendale, AZ 85308-6846

Phone

(480) 825-2331

NPI assigned

Nov 8, 2006

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

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.

Opted out of Medicare

Yes, effective Apr 7, 2016 through Apr 7, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jcianciola18669@direct.midwestern.edu

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.

• Midwestern University

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1164744009
  NPD (past)
• North Valley Endodontics, P.a.

  • Endodontics
  • Phoenix, AZ
  • NPI 1659308641

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1841360120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086846",
            "telephone_number": "480-825-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086846",
            "telephone_number": "480-825-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCIOLA",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D008959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Kiran Chundi, M.S.
• Christopher James Church, M.D.
• Kristin Leigh Church, APRN, FNP-C
• Lynn M Church, NP
• Alyssa Ciampi, BS, FNTP, RWS-3, PWA
• Lori Cieszko
• Cigna Health Care of Arizona Inc.
• Cigna Health Care of Arizona Inc.
• Cigna Health Care of Arizona Inc.
• Cindy Hicks

• Periodontics in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.