Active NPI
Carl George Ciccone, D.D.S.
- General Practice Dentistry
- Littleton, NH
National Provider Identifier
1962516252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1367
- Practice address
- 175 Cottage St
Littleton, NH 03561-4201 - Phone
- (603) 444-6411
- Fax
- (603) 444-1629
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1367 | NH | Primary |
Addresses
Primary practice location
175 Cottage St
Littleton, NH 03561-4201
Mailing address
PO Box 375
Littleton, NH 03561-0375
Phone (603) 444-6411
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157698 | Other | PA | UNITED CONCORDIA |
| 191844 | Medicaid | NH | |
| 236429 | Other | VA | ANTHEM BCBS |
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": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962516252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 375",
"city": "LITTLETON",
"state": "NH",
"postal_code": "035610375",
"telephone_number": "603-444-6411",
"fax_number": "603-444-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 COTTAGE ST",
"city": "LITTLETON",
"state": "NH",
"postal_code": "035614201",
"telephone_number": "603-444-6411",
"fax_number": "603-444-1629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCONE",
"first_name": "CARL",
"middle_name": "GEORGE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "1367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "157698",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191844",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "236429",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.