Michele J Dimaira, D.M.D., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

17382 Issued in NJ

Practice address

170 Changebridge Rd BLDG C6
Montville, NJ 07045-9113

Phone

(973) 276-7926

NPI assigned

Aug 24, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 22, 2017 through Sep 22, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Michele J. Dimaira, D.M.D., M.S. PA

  • Periodontics
  • Montville, NJ
  • NPI 1306953567
  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184731358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG C6",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459113",
            "telephone_number": "973-276-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG C6",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459113",
            "telephone_number": "973-276-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAIRA",
        "first_name": "MICHELE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "17382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele A. De Vito, NCTMB, LMT
• Katie Lynne Defrank, LPC
• Elaine Delrio-Fano, DC
• Mary Ann Derosa, PH.D.
• Developmental Disability Awareness With Love (Ddawl)
• Jill Lauren Dolinko, PT, DPT
• Suzanne M Donohue, LCSW
• Michael J. Duddy, D.C.
• Anne K Effron, MSW, LCSW, BCD
• Stephanie Ann Elsing

• Periodontics in Montville, NJ
• Providers in Montville, NJ by specialty
• Periodontics in New Jersey

• 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; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.