Ansley H. Depp, D.M.D.
Individual provider Active NPI General Practice Dentistry · Highland Heights, KY
NPI 1295848802 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295848802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 06751 (KY)
- Practice address
- 2600 Alexandria Pike
Highland Heights, KY 41076-1590 - Phone
- (859) 442-8200
- Fax
- (859) 442-9555
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161103000411 | KY | Order and Referring Only - Dentist |
3779763297 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06751 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 06751 | KY | Yes |
Addresses
Primary practice location
2600 Alexandria Pike
Highland Heights, KY 41076-1590
Mailing address
2600 Alexandria Pike
Highland Heights, KY 41076-1590
Phone (859) 442-8200
Other providers in Highland Heights, KY
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- Vickie C Chan
- Lynnette Carol Chasteen
- Rani L. Clark
- Colleen Patricia Delzotti
- Nicholas Dikeos
- Christopher R Diroff
- Suzanne Elizabeth Dorma
- Aaron John Dragone
- Ibrahim Elgumati
All providers in Highland Heights, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.