Gagan Deep, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108686 Issued in CA

Practice address

1919 Susquehanna Rd
Abington, PA 19001-4513

Phone

(909) 802-6159

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1407521420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 BEDFORD LN APT 146",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093568",
            "telephone_number": "909-802-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 SUSQUEHANNA RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014513",
            "telephone_number": "909-802-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEP",
        "first_name": "GAGAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043317",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahra K De Four, M.D.
• Nancy Deangelis, CRNP
• Jacob Dearborn
• Morgan Mercedes Decker
• Robert R Dee, MD
• Moriah Deeter, PA-C
• Stephanie L Degraw, PHARMD, RPH
• Jennifer Deirmengian, MD
• Philippe Dekerillis, DO
• Corianna Lee Delisi, DO

• General Practice Dentistry in Abington, PA
• Providers in Abington, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.