Individual provider Active NPI

Diana Marie Dongell, DMD

  • Endodontics
  • West Columbia, SC
National Provider Identifier
1609109529
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9984 Issued in SC
Practice address
3020 Sunset Blvd Ste 100
West Columbia, SC 29169-3494
Phone
(803) 386-7442
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS037147 PA
Endodontics 1223E0200X DN001316 PA
Endodontics 1223E0200X 9984 SC Primary

Addresses

Primary practice location

3020 Sunset Blvd Ste 100
West Columbia, SC 29169-3494

Mailing address

159 Sterling Lake Dr
Lexington, SC 29072-8225
Phone (412) 897-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 4, 2015 through May 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN001316PAMDEndodontist
DS037147PAMDEndodontist
9984SCMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Endodontics Endodontics CurrentSince Jul 23, 2023 Accepting new patients
Associated Dental Specialists Endodontics Past Accepting new patients

Locations

3020 Sunset Blvd
Ste 100
West Columbia, SC 29169
Phone (803) 386-7442

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1609109529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 STERLING LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728225",
            "telephone_number": "412-897-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 SUNSET BLVD STE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693494",
            "telephone_number": "803-386-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONGELL",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS037147",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DN001316",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "9984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.