Miguel Lewis Defina, D.D.S., M.S.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30022088 Issued in OH

Practice address

5005 State Rd
Ashtabula, OH 44004-6265

Phone

(440) 992-3146

Fax

(440) 998-6932

NPI assigned

Nov 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Periodontal Associates, Inc.

  • Periodontics
  • Lyndhurst, OH
  • NPI 1356498844
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1013198878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD",
            "address_2": "SUITE 450",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441244062",
            "telephone_number": "440-461-3400",
            "fax_number": "440-461-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 STATE RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046265",
            "telephone_number": "440-992-3146",
            "fax_number": "440-998-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFINA",
        "first_name": "MIGUEL",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30022088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Debellis, D.D.S.
• John E Decato, DPM
• Louis A. Decola Jr., PH.D.
• Sean Douglas Deeley, P.A.-C
• Robin Deemer, LISW, LICDC
• Marissa Degennaro, CDCA
• Donna M Degeorge, PCC, LICDC
• Emma Deitz
• Guy Barnaba Del Prince, D.P.M.
• Shannon Delaat

• Periodontics in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.