Sonni Pellillo, D.D.S, M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901022544 Issued in MI

Practice address

6477 Cherry Meadow Dr SE Ste 2
Caledonia, MI 49316-7351

Phone

(304) 612-4242

NPI assigned

Nov 19, 2015

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hannapel Pellillo Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Caledonia, MI
  • NPI 1427706761
  NPD Authorized official
• Dentistry for Children of South Carolina PC

  • Dentist
  • Greenville, SC
  • NPI 1740788611
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1790159341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6477 CHERRY MEADOW DR SE STE 2",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167351",
            "telephone_number": "304-612-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6477 CHERRY MEADOW DR SE STE 2",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167351",
            "telephone_number": "304-612-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLILLO",
        "first_name": "SONNI",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901022544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• OT on the Farm, LLC
• Jane E Oudbier, MA,LLP
• Jennifer Lee Owczarzak, LMSW
• Efthymia Papathoma Grias, DDS
• Peaceful Pathways Therapy PLLC
• Victoria Pelton, MA, LLP, CAADC
• Pennock Hospital (Spectrum Health Pennock)
• Karen S Phillips-Sherer, CMT, MBA
• Abby Phillips, LMSW
• David Jack Pieters, OTR

• Orthodontics and Dentofacial Orthopedics Dentistry in Caledonia, MI
• Providers in Caledonia, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.