Active NPI
Jeffrey Donatelli, DMD
- Dentist
- Latrobe, PA
National Provider Identifier
1902467558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042328
- Practice address
- 412 Route 217
Latrobe, PA 15650-3431 - Phone
- (412) 719-7735
- NPI assigned
- Jun 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042328 | PA | Primary |
Addresses
Primary practice location
412 Route 217
Latrobe, PA 15650-3431
Mailing address
109 Pershing Cir
Latrobe, PA 15650-9012
Phone (412) 719-7735
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS042328 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1902467558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PERSHING CIR",
"city": "LATROBE",
"state": "PA",
"postal_code": "156509012",
"telephone_number": "412-719-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 ROUTE 217",
"city": "LATROBE",
"state": "PA",
"postal_code": "156503431",
"telephone_number": "412-719-7735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONATELLI",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.