Organization Active NPI

Joseph F. Desantis,D.M.D. and Associates, LLC

  • General Practice Dentistry
  • Chadds Ford, PA
National Provider Identifier
1891210894
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS023512L Issued in PA
Legal business name
JOSEPH F. DESANTIS,D.M.D. AND ASSOCIATES, LLC
Practice address
1290 Baltimore Pike Ste 10
Chadds Ford, PA 19317-7361
Phone
(610) 358-5002
Fax
(610) 358-5023
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mariann Smith
Title
Office Manager
Phone
(610) 358-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS023512L PA Primary

Addresses

Primary practice location

1290 Baltimore Pike Ste 10
Chadds Ford, PA 19317-7361

Mailing address

1290 Baltimore Pike Ste 10
Chadds Ford, PA 19317-7361
Phone (610) 358-5002

National Provider Directory

National Provider Directory

Locations

1290 Baltimore Pike
Ste 10
Chadds Ford, PA 19317
Phone (610) 358-5002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891210894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 BALTIMORE PIKE STE 10",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177361",
            "telephone_number": "610-358-5002",
            "fax_number": "610-358-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 BALTIMORE PIKE STE 10",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177361",
            "telephone_number": "610-358-5002",
            "fax_number": "610-358-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH F. DESANTIS,D.M.D. AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARIANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-358-5002"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023512L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.