Dhda WFD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DHDA WFD, LLC

Practice address

3146 N National Rd
Columbus, IN 47201-3169

Phone

(812) 372-5568

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

DHDA PROVIDERCO, PLLCAs reported in NPPES

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

Authorized official

Name

Paul Lavelle, DMDNPI 1942304647

Title

Sole Member of Dhda Providerco PLLC

Phone

(502) 228-0234

Specialties & licenses 1

Addresses

Part of

Dhda Providerco PLLC

Locations

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.

• Paul Thomas Lavelle, DMD

  • General Practice Dentistry
  • Prospect, KY
  • NPI 1942304647
  Authorized official Same address or phone

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1205418258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WEBSTER ST STE 332",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 N NATIONAL RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013169",
            "telephone_number": "812-372-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHDA WFD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHDA PROVIDERCO, PLLC",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SOLE MEMBER OF DHDA PROVIDERCO PLLC",
        "authorized_official_telephone_number": "502-228-0234",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Gary Desnoyers
• Lashanna Destin, BSN,RN
• Developmental Services, Inc.
• Melina Ann Deweese, RBT
• Robert A Deweese, MD
• Laura Kristen Dickens, FNP-BC
• Jayla Dickerson
• Skyeleighanna Dickmeyer, RBT
• Deborah Dillard-Stark, LCSW
• Lynette Vitucci Dilts, M.S./CCC-SLP

• General Practice Dentistry in Columbus, IN
• Providers in Columbus, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.