ELISE DEDOMINICIS DDS
NPI 1184288581
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Elise Dedominicis Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE DEDOMINICIS DDS (NPI 1184288581) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elise Dedominicis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elise Dedominicis's NPI number?
The NPI number for Elise Dedominicis is 1184288581. It was assigned to this individual provider in the NPPES registry on May 1, 2019.
Where is Elise Dedominicis located?
Elise Dedominicis practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-7890.
What is Elise Dedominicis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Elise Dedominicis enrolled in Medicare?
Yes. Elise Dedominicis is registered in the Medicare PECOS enrollment system.
What insurance does Elise Dedominicis accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 5 other insurers list Elise Dedominicis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elise Dedominicis was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elise Dedominicis, DDS · NPI 1184288581
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 1, 2019.
## Identity
- **NPI:** 1184288581 (Entity type: Individual)
- **Enumerated:** May 1, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 OLD YORK RD, Philadelphia, PA 19141-3018
- **Phone:** (215) 456-7890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** April 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184288581) · Data from the CMS NPPES public registry.