Individual provider Active NPI

Deepa Rao, DDS

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1285800458
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
P58706 Issued in NY
Practice address
1770 Grand Concourse
2F
Bronx, NY 10457-5524
Phone
(718) 901-8110
Fax
(718) 901-8121
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X P58706 NY Primary

Addresses

Primary practice location

1770 Grand Concourse
2F
Bronx, NY 10457-5524

Mailing address

1770 Grand Concourse
2F
Bronx, NY 10457-5524
Phone (718) 901-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20230405002794 NY Practitioner - Dentist 6901271964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P58706NYMDGeneral Practice Dentistry
054253NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 1, 2023 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

Interoperability endpoints

  • Direct secure messaging: drao3621237@nychhc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1285800458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 GRAND CONCOURSE",
            "address_2": "2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575524",
            "telephone_number": "718-901-8110",
            "fax_number": "718-901-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 GRAND CONCOURSE",
            "address_2": "2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575524",
            "telephone_number": "718-901-8110",
            "fax_number": "718-901-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "DEEPA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "P58706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.