Diane Marie Depaul

Primary specialty

DentistTaxonomy code 122300000X

License

00118496 Issued in OH

Practice address

5564 Wilson Mills Rd
Highland Heights, OH 44143-3265

Phone

(440) 461-9600

Fax

(440) 461-4035

NPI assigned

Apr 30, 2008

Sex

Female

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 OH

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 and National Provider Directory roles.

• Koski& Depaul Dental Group

  • General Practice Dentistry
  • Highland Heights, OH
  • NPI 1669647608
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1124294178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-461-9600",
            "fax_number": "440-461-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-461-9600",
            "fax_number": "440-461-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAUL",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "00118496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleveland Eyecare and Optical. Inc.
• Community Works Cleveland
• Susan Ann Corbett
• Laura Cotto
• Susan Virginia Curtis, LISW
• Discount Drug Mart Inc
• Douglas P. Webb, M.D.
• Mariah Dozier
• Daniel Henry Duffy Jr., D.C.
• Nicole Dworning

• Dentist in Highland Heights, OH
• Providers in Highland Heights, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.