Patrick Andrew Demarco, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS029037L Issued in PA

Practice address

1001 State St
Suite 822
Erie, PA 16501-1814

Phone

(814) 455-6991

Fax

(814) 451-0676

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023136025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 STATE ST",
            "address_2": "SUITE 822",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011814",
            "telephone_number": "814-455-6991",
            "fax_number": "814-451-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 STATE ST",
            "address_2": "SUITE 822",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011814",
            "telephone_number": "814-455-6991",
            "fax_number": "814-451-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "PATRICK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS029037L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Delullo
• Breanne Demarco, PHARMD
• Christopher Jon Demarco, D.M.D
• David J Demarco, D.M.D.
• David James Demarco, DMD
• James Albert Dematteis, MD
• Savannah Rose Demayo, PT, DPT
• Ronald Thomas Demchak
• Elio D Demeira, MD
• Cory James Demino, MD

• Endodontics in Erie, PA
• Providers in Erie, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.