Douglas E Desatnik, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30-023233 Issued in OH

Practice address

22901 Millcreek Blvd
Suite #140
Beachwood, OH 44122-5728

Phone

(216) 464-9800

Fax

(216) 464-9833

NPI assigned

Jul 14, 2010

Last updated

Apr 9, 2014By the provider in NPPES

Sex

Male

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

Enrolled in OH

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.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chagrin Highlands Dental Group, Douglas E. Desatnik, D.D.S., LLC

  • Dental Clinic/Center
  • Beachwood, OH
  • NPI 1144687880
  Authorized official Same address or phone
• Northeast Ohio Center for Dental Sleep Medicine LLC

  • Dental Clinic/Center
  • Beachwood, OH
  • NPI 1558801480
  NPD (past) Authorized official

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1417269820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22901 MILLCREEK BLVD",
            "address_2": "SUITE #140",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225728",
            "telephone_number": "216-464-9800",
            "fax_number": "216-464-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22901 MILLCREEK BLVD",
            "address_2": "SUITE #140",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225728",
            "telephone_number": "216-464-9800",
            "fax_number": "216-464-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESATNIK",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Dempsey, RD, LD
• Anna K Dendy, PHD
• Department of Veterans Affairs
• Alexis Kali Depasquale
• Jennifer Desantis, PT, DPT
• Abdelazeem Hazem Desoky, DDS
• Maria Desrosiers, DPT
• Esther Dessler, OTR/L
• Christine Dessoffy
• Devoted Medical Group Inc

• Dentist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.