Individual provider Active NPI

Ante-Tonci Dejanovic, DDS

  • Dentist
  • New Albany, OH
National Provider Identifier
1245029156
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027943 Issued in OH
Practice address
5101 Forest Dr Ste a
New Albany, OH 43054-8215
Phone
(614) 939-0400
NPI assigned
May 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027943 OH Primary

Addresses

Primary practice location

5101 Forest Dr Ste a
New Albany, OH 43054-8215

Mailing address

1170 Chambers Rd Apt 1C
Columbus, OH 43212-1705
Phone (330) 389-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.027943OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dental, Andrew E Skasko DDS, LLC PastSince May 11, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1245029156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CHAMBERS RD APT 1C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121705",
            "telephone_number": "330-389-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR STE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548215",
            "telephone_number": "614-939-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJANOVIC",
        "first_name": "ANTE-TONCI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.