Nicholas C Diamantis, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

35069292 Issued in OH

Practice address

14700 Detroit Ave
Lakewood, OH 44107

Phone

(216) 227-3333

Fax

(216) 226-3700

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicholas C Diamantis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Western Reserve Center for Orofacial and Cosmetic Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Lakewood, OH
  • NPI 1427383272
  NPD (past) Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1972606903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-227-3333",
            "fax_number": "216-226-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-227-3333",
            "fax_number": "216-226-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANTIS",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "35069292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "DIAMANTIS",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dalisa Delk, R.N
• Denver D Jenkins Jr DDS Inc
• Ann L Devaty Kiraly, LPCC
• Gregory P Devor, D.D.S.
• Connor Aaron Dewalt
• Arturo H Diaz, M.D.
• Arthur Peter Dick, MD
• Tabatha Dickerson
• Anthony Erminio Difilippo, PT
• Brenda Digiulio, ARNP

• Oral and Maxillofacial Surgery (Dentist) in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.