Individual provider Active NPI

David Paul Donatelli, D.D.S.

  • Prosthodontics
  • Hatboro, PA
National Provider Identifier
1871753855
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS021911L Issued in PA
Practice address
5 Stefwalt Rd
Hatboro, PA 19040-1629
Phone
(412) 965-9398
NPI assigned
Jun 12, 2008
Last updated
May 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS021911L PA Primary

Addresses

Primary practice location

5 Stefwalt Rd
Hatboro, PA 19040-1629

Mailing address

5 Stefwalt Rd
Hatboro, PA 19040-1629
Phone (412) 965-9398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 29, 2018 through Jun 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS021911LPAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Doylestown Dental Services Inc Prosthodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1871753855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STEFWALT RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401629",
            "telephone_number": "412-965-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STEFWALT RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401629",
            "telephone_number": "412-965-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS021911L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

Verify at the official NPI Registry.