Paul Deasey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14801 Issued in MD

Practice address

22 Truck House Rd Ste 3
Severna Park, MD 21146-2728

Phone

(410) 647-4269

Fax

(410) 544-5910

NPI assigned

May 17, 2011

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

Enrolled in MD

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Cheskis, Hooper, Schatz, Russell & Assc., LLC

  • General Practice Dentistry
  • Severna Park, MD
  • NPI 1629082938
  NPD (past)

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1831482348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TRUCK HOUSE RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462728",
            "telephone_number": "410-647-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TRUCK HOUSE RD STE 3",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462728",
            "telephone_number": "410-647-4269",
            "fax_number": "410-544-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASEY",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Davis
• Donald A Davis, PH.D.
• Katherine Amanda Davis, LMSW
• Mackenzie Ryan Davis, LGPC
• Mollie M Davis, MD
• Mary C Deckelman, MD
• Rachel Elizabeth Dehart, MS OTR/L
• David Rush Deitrick, DDS
• Reese L Delp
• Nina Marie Demaio

• General Practice Dentistry in Severna Park, MD
• Providers in Severna Park, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.