E. V. Decastecker DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020652 Issued in OH

Legal business name

E. V. DECASTECKER DDS INC

Practice address

7320 Industrial Park Blvd
Mentor, OH 44060-5318

Phone

(440) 975-9885

Fax

(440) 975-1634

NPI assigned

Apr 23, 2013

Last updated

Apr 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Estela V. Decastecker, DDSNPI 1609934918

Title

President

Phone

(440) 975-9885

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Estela Viviana Decastecker, D.D.S.

  • General Practice Dentistry
  • Mentor, OH
  • NPI 1609934918
  NPD (past) Authorized official

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1386088185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 INDUSTRIAL PARK BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605318",
            "telephone_number": "440-975-9885",
            "fax_number": "440-975-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 INDUSTRIAL PARK BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605318",
            "telephone_number": "440-975-9885",
            "fax_number": "440-975-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. V. DECASTECKER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "DECASTECKER",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-975-9885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "30020652",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087887",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexanderia Q Dukes
• Rose Dunbrook, R.N.
• Dominic Dundee
• Aaron Dunlany
• Susan M Dykeman, MD
• Eagen Management Inc. (Home Helpers Home Care of Mentor, OH)
• Earmark Audiology
• East Mentor Family Chiropractic & Rehabilitation, Inc.
• Susan Eastabrooks, CNP
• Mary Melissa Eaton, LISW

• General Practice Dentistry in Mentor, OH
• Providers in Mentor, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.