Alekhya Deepthi Badam

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.024090 Issued in OH

Practice address

3292 Elida Rd
Lima, OH 45805-1249

Phone

(408) 464-7233

NPI assigned

Sep 30, 2013

Last updated

Sep 30, 2013By 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 OH

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

Practice roles

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.

• Calderon Dental Group LLC

  • General Practice Dentistry
  • Holland, OH
  • NPI 1336667062
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1437586963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 LUCILLE DR APT 2B",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012865",
            "telephone_number": "408-464-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 ELIDA RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051249",
            "telephone_number": "408-464-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAM",
        "first_name": "ALEKHYA DEEPTHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Babani, M.ED, OTR/L
• Georgina Babcock, RN
• Lindsey M Babcock
• Back on Track Therapy and Wellness, LLC (Back on Track Physical Therapy)
• Jennifer Anita Bacon, PTA
• Tysha Bader
• David Paul Bafford, DO
• James E Bagenstose, M.D.
• Latasha N Bagley, CDCA
• Shakeel A Bahadur, M.D.

• General Practice Dentistry in Lima, OH
• Providers in Lima, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.