Active NPI
Deepthi Maya
- Dentist
- Camdenton, MO
National Provider Identifier
1083323406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2024000916
- Practice address
- 1652 N Business RT 5
Camdenton, MO 65020 - Phone
- (877) 406-2662
- NPI assigned
- Nov 15, 2022
- Last updated
- Jun 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0134149 | VT | |
| Dentist | 122300000X | 2024000916 | MO | Primary |
Addresses
Primary practice location
1652 N Business RT 5
Camdenton, MO 65020
Mailing address
126 Raef Rd
Lebanon, MO 65536-4486
Phone (765) 492-9042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0134149 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Medical Center, Inc. | Current | Accepting new patients | |
| Aman U Syed PLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Central Ozark Medical Clinic
- Federally Qualified Health Center (FQHC)
- Osage Beach, MO
- NPI 1891931978
-
- Dentist
- Springfield, VT
- NPI 1558557876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1083323406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 RAEF RD",
"city": "LEBANON",
"state": "MO",
"postal_code": "655364486",
"telephone_number": "765-492-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 N BUSINESS RT 5",
"city": "CAMDENTON",
"state": "MO",
"postal_code": "65020",
"telephone_number": "877-406-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYA",
"first_name": "DEEPTHI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0134149",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2024000916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camdenton, MO
- M.W.Allen Pharmacy Inc. (Village Healthmart Pharmacy)
- Mader-Dye Chiropractic Health Center, Inc, (Lake of the Ozarks Chiropractic Center)
- Melody Sue Mader, D.C.
- Steven D Martin, M.D.
- Matthew Bowman LLC
- Medical Missions for Christ
- Adrienne Jill Mellroy
- Mercy Hospital Springfield (Mercy Emergency Medical Services-Camden County)
- Robert Oliver Meyer, FNP
- Missouri Eye and Vision Associates, Inc. (Camdenton Family Eyecare Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.