Eric Lee Dellinger, D.D.S., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12009227A Issued in IN

Practice address

1120 E Dupont Rd
Fort Wayne, IN 46825-1556

Phone

(260) 497-0497

Fax

(260) 489-4853

NPI assigned

Aug 19, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Orthodontic Specialty Services, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Wayne, IN
  • NPI 1396858957
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508970088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251556",
            "telephone_number": "260-497-0497",
            "fax_number": "260-489-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251556",
            "telephone_number": "260-497-0497",
            "fax_number": "260-489-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLINGER",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12009227A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashly Mariana Deleon, MAT, LAT, ATC
• Gabriel Deleon, RBT
• Jacob Delis, OD
• Megan Michelle Delis, OD
• Aron E Dellinger, D.D.S., M.S.D.
• Dominica Faith Dello Iocona, MSED, LMHCA
• Courtney Gale Deloney, PHD
• Laura Delong
• Whitney Delong
• Jill Marie Delzeith, COTA

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• 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.