NPIMap

Individual provider Active NPI

Deepika Ankireddy, DDS

  • General Practice Dentistry
  • Lisle, IL
National Provider Identifier
1073016929
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.031497 Issued in IL
Practice address
2801 Ogden Ave
Lisle, IL 60532-1989
Phone
(630) 416-8080
NPI assigned
Mar 16, 2018
Last updated
Mar 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.031497 IL Primary

Addresses

Primary practice location

2801 Ogden Ave
Lisle, IL 60532-1989

Mailing address

2001 S Meyers Rd Apt 401
Oakbrook Terrace, IL 60181-5272
Phone (405) 880-2684

Other names 1

  • Dr. Deepika Ankireddy Other name

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
019.031497ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1073016929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MEYERS RD APT 401",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601815272",
            "telephone_number": "405-880-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321989",
            "telephone_number": "630-416-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKIREDDY",
        "first_name": "DEEPIKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPIKA",
            "last_name": "ANKIREDDY",
            "prefix": "DR.",
            "credential": "DR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.