Individual provider Active NPI

Joseph Felix Desantis, D.M.D.

  • Dentist
  • Chadds Ford, PA
National Provider Identifier
1477689495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS023512L Issued in PA
Practice address
1290 Baltimore Pike
Suite # 10
Chadds Ford, PA 19317-7361
Phone
(610) 358-5002
Fax
(610) 358-5023
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS023512L PA Primary

Addresses

Primary practice location

1290 Baltimore Pike
Suite # 10
Chadds Ford, PA 19317-7361

Mailing address

1290 Baltimore Pike
Suite # 10
Chadds Ford, PA 19317-7361
Phone (610) 358-5002

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
DS023512LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Opera House Parkesburg Dental, LLC Current Accepting new patients
Joseph F. Desantis,D.M.D. and Associates, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477689495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 BALTIMORE PIKE",
            "address_2": "SUITE # 10",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177361",
            "telephone_number": "610-358-5002",
            "fax_number": "610-358-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 BALTIMORE PIKE",
            "address_2": "SUITE # 10",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177361",
            "telephone_number": "610-358-5002",
            "fax_number": "610-358-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "JOSEPH",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023512L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.