Emmanuel Theodory Dezdel

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

240 Mosher Rd
Gorham, ME 04038-5835

Phone

(207) 298-0430

Fax

(207) 298-0430

NPI assigned

May 11, 2026

Last updated

May 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1508794496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MOSHER RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040385835",
            "telephone_number": "207-298-0430",
            "fax_number": "207-298-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MOSHER RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040385835",
            "telephone_number": "207-298-0430",
            "fax_number": "207-298-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZDEL",
        "first_name": "EMMANUEL",
        "middle_name": "THEODORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "ME",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Rand Davenport II
• Erin Davis, LMT
• Deborah J Devine PSYD, PA
• Deborah Jean Devine, PSYD
• Elizabeth Devito, PTA
• Maria Di Gangi
• Dignity Healthcare, PLLC
• Alexis Clair Dimario, PHARMD, RPH
• Wendi Dolloff, MT
• Kaylin Jade Dore, OTR/L

• Chore Provider in Gorham, ME
• Providers in Gorham, ME by specialty
• Chore Provider in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.