Active NPI
Douglas Jason Decouto, DDS
- General Practice Dentistry
- Newark, DE
National Provider Identifier
1982736716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- G30000326
- Practice address
- 1290 Peoples PLZ
Newark, DE 19702-5701 - Phone
- (302) 836-3750
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | G30000326 | DE | Primary |
Addresses
Primary practice location
1290 Peoples PLZ
Newark, DE 19702-5701
Mailing address
38 Oakley CT
Newark, DE 19702-2959
Phone (240) 486-1321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 21, 2015 through May 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30000326 | DE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1982736716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 OAKLEY CT",
"city": "NEWARK",
"state": "DE",
"postal_code": "197022959",
"telephone_number": "240-486-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 PEOPLES PLZ",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025701",
"telephone_number": "302-836-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOUTO",
"first_name": "DOUGLAS",
"middle_name": "JASON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G30000326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.