Active NPI
David James Demarco, DMD
- Dentist
- Erie, PA
National Provider Identifier
1992083935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS038847
- Practice address
- 333 State St Ste 310
Erie, PA 16507-1467 - Phone
- (814) 456-0710
- NPI assigned
- Jul 25, 2011
- 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 | DS038847 | PA | Primary |
Addresses
Primary practice location
333 State St Ste 310
Erie, PA 16507-1467
Mailing address
333 State St Ste 310
Erie, PA 16507-1467
Other practice location 1
3464 W 26th St
Erie, PA 16506-2404
Phone (814) 836-1110
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)
- Enrolled
Interoperability endpoints
- david.demarco.p10@direct.360care.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1992083935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 STATE ST STE 310",
"city": "ERIE",
"state": "PA",
"postal_code": "165071467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 STATE ST STE 310",
"city": "ERIE",
"state": "PA",
"postal_code": "165071467",
"telephone_number": "814-456-0710"
}
],
"practiceLocations": [
{
"address_1": "3464 W 26th St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165062404",
"country_code": "US",
"telephone_number": "814-836-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARCO",
"first_name": "DAVID",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS038847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.