Ansley H. Depp, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06751 Issued in KY

Practice address

2600 Alexandria Pike
Highland Heights, KY 41076-1590

Phone

(859) 442-8200

Fax

(859) 442-9555

NPI assigned

Aug 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 KY

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

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.

• Ansley H Depp PLLC

  dba Dental Blu

  • General Practice Dentistry
  • Highland Heights, KY
  • NPI 1033577606
  Authorized official Same address or phone

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295848802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 ALEXANDRIA PIKE",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410761590",
            "telephone_number": "859-442-8200",
            "fax_number": "859-442-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ALEXANDRIA PIKE",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410761590",
            "telephone_number": "859-442-8200",
            "fax_number": "859-442-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPP",
        "first_name": "ANSLEY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "06751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Campbell Lodge Boys' Home
• Vickie C Chan, M.D.
• Lynnette Carol Chasteen, APRN
• Rani L. Clark, APRN
• Colleen Patricia Delzotti, LPCC
• Matthew T Desjardins, MD
• Nicholas Dikeos, LPCC
• Christopher R Diroff, MD
• Suzanne E Dorma, DPT
• Aaron John Dragone, MSPT, CSCS

• General Practice Dentistry in Highland Heights, KY
• Providers in Highland Heights, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.