Tera L Depaoli, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036594 Issued in PA

Practice address

4984 Middle Rd
Gibsonia, PA 15044-8276

Phone

(724) 443-4444

Fax

(724) 443-4274

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

Practice roles

Locations

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.

• Tera L Depaoli, DMD, LLC

  • General Practice Dentistry
  • Gibsonia, PA
  • NPI 1639747686
  NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1043368111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4984 MIDDLE RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448276",
            "telephone_number": "724-443-4444",
            "fax_number": "724-443-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4984 MIDDLE RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448276",
            "telephone_number": "724-443-4444",
            "fax_number": "724-443-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLI",
        "first_name": "TERA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022313",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Deangelo, CCC-SLP
• Deborah J Contestabile
• Steven Dedmon, PTA
• Rose Dent
• Dental Professionals of Pennsylvania, P.C.
• Department of Veterans Affairs-VA Medical Center
• Valentina Dicenzo
• Pamela Lynn Didomenico, P.T.
• Mary Catherine Dillon
• Lynelle M Disanti

• General Practice Dentistry in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.