Donald Anthony Dechellis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

16735 Issued in OH

Practice address

60 Marwood Cir
Boardman, OH 44512-6249

Phone

(330) 726-8060

Fax

(330) 726-4948

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donald a Dechellis DDS Inc

  • Dentist
  • Boardman, OH
  • NPI 1356395768
  NPD (past) Authorized official
• Thomas a Dechellis DDS, LLC

  • General Practice Dentistry
  • Youngstown, OH
  • NPI 1801665500
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922167253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MARWOOD CIR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126249",
            "telephone_number": "330-726-8060",
            "fax_number": "330-726-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MARWOOD CIR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126249",
            "telephone_number": "330-726-8060",
            "fax_number": "330-726-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHELLIS",
        "first_name": "DONALD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "16735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479049",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "000000072125",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic John Deangelo, PA-C
• Robert Debiec, DPM
• Deborah L Sano PHD LLC
• Adrien Decena, M.D.
• Albert P Dechellis, D.D.S.
• Tammy Dechellis, RN
• Rocky Defrank
• Sarah Deiger, LISW-S
• Mario Albert Del Toro, MD
• Sarah Delcalzo

• Dentist in Boardman, OH
• Providers in Boardman, OH by specialty
• Dentist in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.