NPIMap

Organization Active NPI

Danielle J Dey DDS, LLC

Doing business as Modern Elevations Dentistry

  • Dental Clinic/Center
  • Etna, OH
National Provider Identifier
1073024634
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30.024073 Issued in OH
Legal business name
DANIELLE J DEY DDS, LLC
Doing business as
Modern Elevations Dentistry
Practice address
10991B National Rd SW
Etna, OH 43062-8107
Phone
(740) 785-7444
NPI assigned
Oct 22, 2017
Last updated
Mar 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Dr. Danielle J Dey, DDSNPI 1114357167
Title
Owner/General Dentist
Phone
(740) 785-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30.024073 OH Primary

Addresses

Primary practice location

10991B National Rd SW
Etna, OH 43062-8107

Mailing address

10991B National Rd SW
Etna, OH 43062-8107
Phone (740) 785-7444

Other names 1

  • Modern Elevations Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10991B National Rd SW
Etna, OH 43062
Phone (740) 785-7444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1073024634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10991B NATIONAL RD SW",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430628107",
            "telephone_number": "740-785-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10991B NATIONAL RD SW",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430628107",
            "telephone_number": "740-785-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE J DEY DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-22",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "DEY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "740-785-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30.024073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Elevations Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Elevations Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Etna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.