Deepali Mehta Bhanot, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11954 Issued in MD

Practice address

20400 Observation Dr
# 208
Germantown, MD 20876-4085

Phone

(301) 528-8685

Fax

(301) 528-2051

NPI assigned

May 23, 2005

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Deepali Mehta Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhanot.deepali.1@3167.direct.athenahealth.com

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.

• Kids Dental Clinic

  • Dentist
  • Germantown, MD
  • NPI 1154281541
  NPD Authorized official
• R&S Dental LLC

  • General Practice Dentistry
  • Germantown, MD
  • NPI 1033075841
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1225031214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 OBSERVATION DR",
            "address_2": "# 208",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764085",
            "telephone_number": "301-528-8685",
            "fax_number": "301-528-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 OBSERVATION DR",
            "address_2": "# 208",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764085",
            "telephone_number": "301-528-8685",
            "fax_number": "301-528-2051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12165 Elm St",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218531358",
            "country_code": "US",
            "telephone_number": "410-651-5151",
            "fax_number": "410-651-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHANOT",
        "first_name": "DEEPALI",
        "middle_name": "MEHTA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "11954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPALI",
            "last_name": "MEHTA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gaitee H Beu, LCPC, NCC
• Kayleigh Beyer
• BFW Group Holdings LLC (BornFree Wellness Centers of America LLC)
• BFW Group Holdings LLC (BornFree Wellness Centers of America LLC)
• Sneha Akash Bhalani
• Chandrika N Bhut, DDS
• Jayne F Biafore, PT
• Bioserenity USA Inc.
• Elizabeth Marie Birrer, PT
• Juliet Birungi

• Pediatric Dentistry in Germantown, MD
• Providers in Germantown, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.