Ralph a, Ciasullo DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9834 Issued in FL

Legal business name

RALPH A, CIASULLO DMD PA

Practice address

6220 Manatee Ave W
Suite 304
Bradenton, FL 34209-2376

Phone

(941) 795-4040

Fax

(941) 794-8139

NPI assigned

May 22, 2012

Last updated

May 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ralph A Ciasullo, DMDNPI 1154595791

Title

Dentist

Phone

(941) 795-4040

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph A. Ciasullo, D.M.D.

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1154595791
  NPD (past) Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1851651095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 MANATEE AVE W",
            "address_2": "SUITE 304",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092376",
            "telephone_number": "941-795-4040",
            "fax_number": "941-794-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 MANATEE AVE W",
            "address_2": "SUITE 304",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092376",
            "telephone_number": "941-795-4040",
            "fax_number": "941-794-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH A, CIASULLO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "CIASULLO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "941-795-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Rafi, PHARMD
• Mason Rahman, LCSW
• Padmini G Rajan, M.D
• Raj T Rajan, M.D.
• Judy Ann Raker, CRNFA
• Guruswamy Ramamurthy, M.D.
• Kurt Michael Ramey, DO
• Doris Katherine Ramirez Nessetti, MD
• Cristian Leonardo Ramirez Rodriguez
• Anamil Ramirez, PT, DPT

• Dental Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.