DR. DIANA ERCILIA TICLAVILCA-ACUNA DDS
NPI 1710414388
Dentist - General Practice in Greenville, NC

Q: What is Diana Ticlavilca-acuna's NPI number?

The NPI number for Diana Ticlavilca-acuna is 1710414388. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Q: What is Diana Ticlavilca-acuna's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 15, 2017PECOS Enrolled

2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-5518(252) 744-2827 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 16, 2020, Jun 6, 2017 (3 updates tracked since 2017).

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About Dr. Diana Ercilia Ticlavilca-acuna Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIANA ERCILIA TICLAVILCA-ACUNA DDS (NPI 1710414388) is an individual general practice provider in Greenville, North Carolina, licensed in North Carolina (10720) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710414388

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DIANA ERCILIA TICLAVILCA-ACUNACredential: DDS

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-5518 · Fax (252) 744-2827

Phone(252) 744-5518

Fax(252) 744-2827

Sole ProprietorNo

Enumeration DateMay 15, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedJune 16, 2020

✔ NPI 1710414388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 10720

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2100 STANTONSBURG RD, Greenville, NC 27834

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diana Ercilia Ticlavilca-acuna Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN ERIC GREGG M.D.

Student in an Organized Health Care Education/Training Program