Douglas Anthony Filidore, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS02831L Issued in PA

Practice address

1372 Stonegate Dr
Downingtown, PA 19335-5602

Phone

(610) 459-3644

Fax

(610) 459-0736

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 4, 2016 through Apr 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Concordville Town Centre Dental

  • General Practice Dentistry
  • Glen Mills, PA
  • NPI 1043538457
  Authorized official Same address or phone

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093923013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 STONEGATE DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193355602",
            "telephone_number": "610-459-3644",
            "fax_number": "610-459-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 STONEGATE DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193355602",
            "telephone_number": "610-459-3644",
            "fax_number": "610-459-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIDORE",
        "first_name": "DOUGLAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS02831L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Mobility LLC (Mobility Express)
• Family Psychiatric Care Services, LLC
• Ardalan Fassih, L.M.T.
• Laura Reardon Feller, DMD
• Eugene J Ferguson, MD
• Meagan Marie Filoon, LCSW
• Michaela C. Finley, LCSW
• Britney Flaherty, LPC
• Elizabeth Stein Fleming
• Jennifer Fleming, LPC

• General Practice Dentistry in Downingtown, PA
• Providers in Downingtown, 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 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.