Deepika Iyer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS042458 Issued in PA

Practice address

1200 Callowhill St
Philadelphia, PA 19123-3658

Phone

(215) 309-6223

Fax

(267) 592-4182

NPI assigned

Sep 10, 2019

Last updated

Oct 6, 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

Medicare fee-for-service enrollment

Enrolled in PA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1881779866
  Medicare reassignment NPD
• Public Health Management Corporation

  dba PHMC at Stenton Manor

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1053847053
  NPD
• Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1467776989
  NPD
• Public Health Mangement Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1912943457
  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1225687320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-309-6223",
            "fax_number": "267-592-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-309-6223",
            "fax_number": "267-592-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "DEEPIKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osahon Carlson Iyamu
• Amit Iyengar, MD
• Nandini Bhargav Iyengar, MD
• Sandhyaa Sudha Iyengar, M.D.
• Amulya Iyer, MD
• Kiran Iyer
• Meghana Iyer
• Rajeev Subramanyam Iyer, M.D.
• Sujit S Iyer, M.D.
• Iyi

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.