SARAH RENEA CIVITILLO DDS
NPI 1942870654
Student in an Organized Health Care Education/Training Program in Farmington, CT

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 26, 2021PECOS Enrolled

263 FARMINGTON AVE, FARMINGTON, CT 06032(304) 312-6703 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2025, Jun 29, 2021, Jun 26, 2021 (3 updates tracked since 2021).

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About Sarah Renea Civitillo Dds NPPES

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

SARAH RENEA CIVITILLO DDS (NPI 1942870654) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (14370) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942870654

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSARAH RENEA CIVITILLOCredential: DDS

Location Address263 FARMINGTON AVEFarmington, CT 06032-1956

Mailing Address263 Farmington AveFarmington, CT 06032-1956

Phone(304) 312-6703

Sole ProprietorNo

Enumeration DateJune 26, 2021

Last NPPES UpdateMay 14, 20253 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1942870654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CT · 14370

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

263 FARMINGTON AVE, Farmington, CT 06032

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Renea Civitillo 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.