Active NPI
Deepali Gham, DMD
- Dentist
- Hockessin, DE
National Provider Identifier
1194862276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G1-0001364
- Practice address
- 17 Slashpine Cir
Hockessin, DE 19707-9206 - Phone
- (617) 959-9194
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | G1-0001364 | DE | Primary |
Addresses
Primary practice location
17 Slashpine Cir
Hockessin, DE 19707-9206
Mailing address
17 Slashpine Cir
Hockessin, DE 19707-9206
Phone (617) 959-9194
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 |
|---|---|---|---|
| G1-0001364 | DE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1194862276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SLASHPINE CIR",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197079206",
"telephone_number": "617-959-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SLASHPINE CIR",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197079206",
"telephone_number": "617-959-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAM",
"first_name": "DEEPALI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "G1-0001364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hockessin, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.