Demetrios Louis Consolo

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

400 Fort Hill Ave
Dental Dept
Canandaigua, NY 14424-1159

Phone

(585) 393-7172

NPI assigned

Aug 1, 2007

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

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1780874016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WATERFORD RD",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "145689424",
            "telephone_number": "909-434-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FORT HILL AVE",
            "address_2": "DENTAL DEPT",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241159",
            "telephone_number": "585-393-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSOLO",
        "first_name": "DEMETRIOS",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Marie Combs, M.S.ED, ATC
• Morgan N. Conley, CTRS
• April L Connery, PHD
• Jamie Lynn Connor, NP
• Kristine S Consiglio, LCSW-R
• Aubrey L Conti, RN
• Susan Marie Cooley
• E Kaye Cooper
• Deborah P Coots, RN
• Ashley Corso

• Dental Assistant in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Dental Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.