Gianni Sante Decarolis, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901020090 Issued in MI

Practice address

50 W Big Beaver Rd
Bloomfield Hills, MI 48304-3910

Phone

(248) 647-7930

Fax

(248) 647-0576

NPI assigned

Jul 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Locations

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.

• Endodontic Associates of Michigan PLLC

  • Endodontics
  • Bloomfield Hills, MI
  • NPI 1538116579
  NPD
• Endodontic Associates of Michigan PLLC

  • Endodontics
  • Farmington Hills, MI
  • NPI 1033166996
  NPD (past)
• Endodontics PC

  • Endodontics
  • Dearborn, MI
  • NPI 1538126263
  NPD (past)

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1497985659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043912",
            "telephone_number": "248-647-7930",
            "fax_number": "248-647-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043910",
            "telephone_number": "248-647-7930",
            "fax_number": "248-647-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAROLIS",
        "first_name": "GIANNI",
        "middle_name": "SANTE",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN18681",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901020090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Dean, M.P.T.
• Jonathan Gifford Dean, D.C.
• Randy Dean, M.D.
• Dearborn Oncology Associates PC
• Debora L. Ferguson, M.D.
• Mosab Ramzi Muhi Deen, D.O.
• Cassius Deflon, MD
• Michele Degregorio, M.D.
• Sarah Ellen Deleon, MD
• Alyssa Delgado

• Endodontics in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.