Individual provider Active NPI

Jyoti Deshmane, D.M.D.

  • Dentist
  • Skippack, PA
National Provider Identifier
1013072115
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-028689L Issued in PA
Practice address
2012 Bridge Road
Skippack, PA 19474-0137
Phone
(610) 222-8189
Fax
(610) 222-8121
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028689L PA
Dentist 122300000X DS-028689L PA Primary

Addresses

Primary practice location

2012 Bridge Road
Skippack, PA 19474-0137

Mailing address

9 Camelot Way
Harleysville, PA 19438-2910
Phone (215) 368-3813

Other identifiers 3

IdentifierTypeStateIssuer
1926MedicaidPA
784857OtherPAUCCI PROV. ID
000000262309MedicaidPA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS-028689LPAMDDentist
DS028689LPAMDGeneral Practice Dentistry

Practice roles (3 of 6)

OrganizationSpecialtyStatusNew patients
SP Dental Celebrations PC PastSince Sep 24, 2023 Accepting new patients
Whitemarsh Dental Care,Inc Dentist Past Accepting new patients
All Family Dental Care,Inc Dentist Past Accepting new patients

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1013072115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAMELOT WAY",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382910",
            "telephone_number": "215-368-3813",
            "fax_number": "610-222-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 BRIDGE ROAD",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740137",
            "telephone_number": "610-222-8189",
            "fax_number": "610-222-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHMANE",
        "first_name": "JYOTI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028689L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-028689L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1926",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI PROV. ID",
            "identifier": "784857",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000262309",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skippack, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; 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.