Active NPI
Dominic Ciccarelli
- Homemaker
- Massillon, OH
National Provider Identifier
1891383170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 8095 Bricker Rd NW
Massillon, OH 44646-9360 - Phone
- (330) 754-7404
- NPI assigned
- Jan 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | OH | Primary |
Addresses
Primary practice location
8095 Bricker Rd NW
Massillon, OH 44646-9360
Mailing address
5862 Portage St NW
North Canton, OH 44720-6750
Phone (330) 754-7404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1891383170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5862 PORTAGE ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447206750",
"telephone_number": "330-754-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8095 BRICKER RD NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446469360",
"telephone_number": "330-754-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCARELLI",
"first_name": "DOMINIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
- Patricia L Christman, NP
- Jeffrey F Chufar, CDCA
- CHV Home Medical Equipment Company, LLC
- CHV Home Medical Equipment Company, LLC
- CHV Home Medical Equipment Company, LLC
- Angela Cipriano, QMHS
- Circle of Life Healthcare LLC
- City of Massillon
- CJ Non Medical Home Health Assisting Agency
- Clarke Family Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.