Krupa Desai, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012474A Issued in IN

Practice address

3205 S US 421
Zionsville, IN 46077

Phone

(317) 973-4855

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Haven Dental Studio LLC

  • Dental Clinic/Center
  • Zionsville, IN
  • NPI 1629737309
  NPD Authorized official
• J Terry Frey DDS PC

  • General Practice Dentistry
  • North Vernon, IN
  • NPI 1033212071
  NPD (past)
• North Vernon Family Dental LLC

  • Dentist
  • North Vernon, IN
  • NPI 1669820643
  NPD (past)
• South Indy Dental, P.C.

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1679922470
  NPD (past)

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1124476114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 YANCEY PL",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460744705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 S US 421",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "46077",
            "telephone_number": "317-973-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KRUPA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012474A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012474A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Nichol Dehart, LCSW
• Laura M Del Vecchio
• Rachel Kathryn Demerly, NP
• Dental Professionals of Indiana, P.C.
• Aimee Dershowitz, PSY.D. HSPP
• Jacob David Dewitt, MD
• Varuna Dhanabal
• Jayla Kay Dilbeck, M.A CCC-SLP
• Brelyn Dillard
• Logan S Dinkel

• General Practice Dentistry in Zionsville, IN
• Providers in Zionsville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.

Verify at the official NPI Registry.