David Gerard Deolden II, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

026355 Issued in NY

Practice address

7868 Peck Road
Kirkville, NY 13082

Phone

(315) 400-7909

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1174206940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7868 PECK ROAD",
            "city": "KIRKVILLE",
            "state": "NY",
            "postal_code": "13082",
            "telephone_number": "315-400-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7868 PECK ROAD",
            "city": "KIRKVILLE",
            "state": "NY",
            "postal_code": "13082",
            "telephone_number": "315-400-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOLDEN",
        "first_name": "DAVID",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Barbara Breed, RN
• Cheryl Huther Inc
• Carol Chapman D'Angelo, LMHC, CASAC
• Rebecca Gardner
• Heather Gasparinatos
• Christopher Cody Hall, RN
• Cynthia Leigh Hare, RN
• Patricia Hart, D.O.

• Massage Therapist in Kirkville, NY
• Providers in Kirkville, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.