Organization Active NPI

Nicole Carnicella, D.M.D., P.C.

  • General Practice Dentistry
  • Bellefonte, PA
National Provider Identifier
1871862797
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035441 Issued in PA
Legal business name
NICOLE CARNICELLA, D.M.D., P.C.
Practice address
212 Kenlee Dr
Bellefonte, PA 16823-2847
Phone
(814) 355-5254
Fax
(814) 353-0668
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Dr. Nicole Marie Carnicella, D.M.D.NPI 1356369599
Title
President
Phone
(814) 355-5252

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS035441 PA Primary

Addresses

Primary practice location

212 Kenlee Dr
Bellefonte, PA 16823-2847

Mailing address

212 Kenlee Dr
Bellefonte, PA 16823-2847
Phone (814) 355-5254

National Provider Directory

National Provider Directory

Locations

212 Kenlee Dr
Bellefonte, PA 16823
Phone (814) 355-5254

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": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1871862797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 KENLEE DR",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232847",
            "telephone_number": "814-355-5254",
            "fax_number": "814-353-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 KENLEE DR",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168232847",
            "telephone_number": "814-355-5254",
            "fax_number": "814-353-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE CARNICELLA, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "CARNICELLA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-355-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.