Dan Constantine Deligianis, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301042936 Issued in MI

Practice address

4170 Fairway Drive
Fort Gratiot, MI 48059-3702

Phone

(810) 385-8752

Fax

(810) 987-4572

NPI assigned

Jul 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dan C. Deligianis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1558591990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605011",
            "telephone_number": "810-985-6933",
            "fax_number": "810-987-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 FAIRWAY DRIVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593702",
            "telephone_number": "810-385-8752",
            "fax_number": "810-987-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIGIANIS",
        "first_name": "DAN",
        "middle_name": "CONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301042936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAN",
            "last_name": "DELIGIANIS",
            "middle_name": "C.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Davis
• Rachel Michelle Davis
• Carly Danielle Dawson
• Carson Day, OD
• Jenna Del Valle
• Ashley Denby, LMT
• Kaileigh Destevens-Carpenter
• Colleen Dewan, RN
• Abigail Ruth Dewitte
• Jocelyn Dokulil

• Ophthalmology Physician in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.