Active NPI
Jyoti Deshmane, D.M.D.
- Dentist
- Skippack, PA
National Provider Identifier
1013072115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS-028689L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1926 | Medicaid | PA | |
| 784857 | Other | PA | UCCI PROV. ID |
| 000000262309 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS-028689L | PA | MD | Dentist |
| DS028689L | PA | MD | General Practice Dentistry |
Practice roles (3 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SP Dental Celebrations PC | Past | 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.
-
- Dentist
- Skippack, PA
- NPI 1518020668
-
- Dentist
- Lafayette Hill, PA
- NPI 1912291576
-
- Dental Clinic/Center
- Skippack, PA
- NPI 1619755675
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.