Douglas Delli Colli, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4112 Issued in ME

Practice address

618 US Route 1
Suite 4
Scarborough, ME 04074-9618

Phone

(207) 883-3229

NPI assigned

Jul 29, 2009

Last updated

Jul 22, 2015By the provider in NPPES

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 ME

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

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

• Dunstan Dental Center, LLC

  • General Practice Dentistry
  • Scarborough, ME
  • NPI 1447433560
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1053542787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 US ROUTE 1",
            "address_2": "SUITE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749618",
            "telephone_number": "207-883-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 US ROUTE 1",
            "address_2": "SUITE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749618",
            "telephone_number": "207-883-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLI COLLI",
        "first_name": "DOUGLAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "4112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Colleen Dawson-Chalat, M.D.
• Wesley Day, PHARMD
• Colleen Michelle Decola-Arsenault, PA-C
• Karen Amanda Degrandpre, LMSW-CC
• Joseph T Degrinney III, M.D.
• Katie S Delorme, PT
• Michael Wood Delucia, MD
• Emily T Demetriou, MD
• Rajiv D. Desai, MD
• Nathalie Descheneaux, OTR/L

• Dentist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.