Elizabeth A Demichelis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40427 Issued in CA

Practice address

1207 14TH Street
Modesto, CA 95354

Phone

(209) 522-2348

Fax

(209) 552-2342

NPI assigned

Aug 31, 2006

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

Enrolled in CA

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

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861503765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 14TH STREET",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95354",
            "telephone_number": "209-522-2348",
            "fax_number": "209-552-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 14TH STREET",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95354",
            "telephone_number": "209-522-2348",
            "fax_number": "209-552-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMICHELIS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Delgado, LVN
• Jomar Dela Cruz Deliguin, RN, BSN, RNFA, CNOR
• Delma F Zardo OD a Professional Optometric Corporation
• Ana Cecilia Delrazo
• Sevriana Octavia Delsid
• Angelica Deneau
• Kiara Denney
• Aurora Golena Dennings
• Makayla Evangeline Dennison
• Dental Sleep Med Systems, Inc.

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.