Individual provider Active NPI

Gino Gianni Digiannantonio, D.D.S.

  • Dentist
  • Woodmere, OH
National Provider Identifier
1841565074
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30020444 Issued in OH
Practice address
27970 Chagrin Blvd Ste E211
Woodmere, OH 44122-4461
Phone
(216) 468-5358
NPI assigned
Mar 21, 2012
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30020444 OH Primary

Addresses

Primary practice location

27970 Chagrin Blvd Ste E211
Woodmere, OH 44122-4461

Mailing address

27970 Chagrin Blvd Suite E211
Woodmere Village, OH 44122
Phone (216) 468-5358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30020444OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1841565074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27970 CHAGRIN BLVD SUITE E211",
            "city": "WOODMERE VILLAGE",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-468-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27970 CHAGRIN BLVD STE E211",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224461",
            "telephone_number": "216-468-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIANNANTONIO",
        "first_name": "GINO",
        "middle_name": "GIANNI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30020444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.