Roger P Desilets, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

11355 Issued in MA

Practice address

67 Highland St
Worcester, MA 01609-2734

Phone

(508) 791-5529

Fax

(508) 791-4546

NPI assigned

Aug 13, 2006

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

Enrolled in MA

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

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.

• DRS. Manzoli and Russo, PC

  dba Central New England Endodontics & Implantology

  • Endodontics
  • Worcester, MA
  • NPI 1457393951
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053323485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "PRINCETON",
            "state": "MA",
            "postal_code": "015410073",
            "telephone_number": "978-464-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HIGHLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092734",
            "telephone_number": "508-791-5529",
            "fax_number": "508-791-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESILETS",
        "first_name": "ROGER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "11355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Deschenes
• Mark D Deschenes
• Kiandra Desenna-Mata
• Garrett Peter Desforges
• Alex Deshields, M.D.
• Donald James Desio, MD
• Stephen M Desio, M.D.
• Jean Richard Desir
• Amanda Desjardin, LICSW
• David John Desjardins, LICSW

• Endodontics in Worcester, MA
• Providers in Worcester, MA by specialty
• Endodontics in Massachusetts

• 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.