NPIMap

Organization Active NPI

Peter D Carnicelli DMD

  • Periodontics
  • Winthrop, MA
National Provider Identifier
1851551683
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12351 Issued in MA
Legal business name
PETER D CARNICELLI DMD
Practice address
185 Hermon St
Winthrop, MA 02152-3024
Phone
(617) 846-1280
Fax
(617) 846-5691
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Peter D Carnicelli, DMDNPI 1912190307
Title
Dentist/Owner
Phone
(617) 846-1280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 12351 MA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 12351 MA Primary

Addresses

Primary practice location

185 Hermon St
Winthrop, MA 02152-3024

Mailing address

185 Hermon St
Winthrop, MA 02152-3024
Phone (617) 846-1280

National Provider Directory

National Provider Directory

Locations

185 Hermon St
Winthrop, MA 02152
Phone (617) 846-1280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1851551683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 HERMON ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021523024",
            "telephone_number": "617-846-1280",
            "fax_number": "617-846-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HERMON ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021523024",
            "telephone_number": "617-846-1280",
            "fax_number": "617-846-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D CARNICELLI DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CARNICELLI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "617-846-1280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "12351",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "12351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.