Active NPI
Deepika Gopal Gopalan, DDS
- General Practice Dentistry
- Columbia, MD
National Provider Identifier
1013726769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18391
- Practice address
- 10630 Little Patuxent Pkwy Ste 410
Columbia, MD 21044-6210 - Phone
- (410) 648-2085
- NPI assigned
- Jan 6, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18391 | MD | Primary |
Addresses
Primary practice location
10630 Little Patuxent Pkwy Ste 410
Columbia, MD 21044-6210
Mailing address
307 Russo Way Apt G
Bel Air, MD 21015-6460
Phone (608) 609-8890
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 |
|---|---|---|---|
| 18391 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1013726769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 RUSSO WAY APT G",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156460",
"telephone_number": "608-609-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 LITTLE PATUXENT PKWY STE 410",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210446210",
"telephone_number": "410-648-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOPALAN",
"first_name": "DEEPIKA GOPAL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-22",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "18391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.