NPIMap

Organization Active NPI

Megan B Desimone DDS Inc

  • General Practice Dentistry
  • North Olmsted, OH
National Provider Identifier
1891847554
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21585 Issued in OH
Legal business name
MEGAN B DESIMONE DDS INC
Practice address
26777 Lorain Road
Suite 514
North Olmsted, OH 44070
Phone
(440) 734-7373
Fax
(440) 734-4984
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Megan Burdick Desimone, DDSNPI 1033329081
Title
Owner President
Phone
(440) 734-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21585 OH Primary

Addresses

Primary practice location

26777 Lorain Road
Suite 514
North Olmsted, OH 44070

Mailing address

26777 Lorain Road
Suite 514
North Olmsted, OH 44070
Phone (440) 734-7373

National Provider Directory

National Provider Directory

Locations

26777 Lorain Rd
Ste 514
North Olmsted, OH 44070
Phone (440) 734-7373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1891847554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN ROAD",
            "address_2": "SUITE 514",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "44070",
            "telephone_number": "440-734-7373",
            "fax_number": "440-734-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN ROAD",
            "address_2": "SUITE 514",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "44070",
            "telephone_number": "440-734-7373",
            "fax_number": "440-734-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN B DESIMONE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "BURDICK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "440-734-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.