Donna L Endy, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

035484 Issued in PA

Practice address

1500 Locust St
Suite 1408
Philadelphia, PA 19102-4329

Phone

(215) 732-4450

Fax

(215) 735-9886

NPI assigned

Jan 3, 2007

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

Previously, effective Aug 20, 2018 through Aug 20, 2026

Medicare enrollment (NPD)

Not 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.

• Locust Street Periodontics Implant Dentistry L.L.C.

  • Periodontics
  • Philadelphia, PA
  • NPI 1063536290
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1316004567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511110",
            "telephone_number": "215-536-7705",
            "fax_number": "215-536-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LOCUST ST",
            "address_2": "SUITE 1408",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024329",
            "telephone_number": "215-732-4450",
            "fax_number": "215-735-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDY",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "035484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endodontics Limited PC
• Anusha Endreddy, MBBS
• Emily Endres
• Jane Marie Endres
• Paul Joseph Endres, MD
• Michael Enea, DO
• Nwamaka Denise Eneanya, M.D.
• Prosperity C Eneh, PHARMD
• Forrest Enemark, MD
• Rasih Atilla Ener, MD

• Periodontics in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.