Organization Active NPI

Deepak Kakar DDS

  • Pediatric Dentistry
  • Fredericksburg, VA
National Provider Identifier
1457512188
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401410573 Issued in VA
Legal business name
DEEPAK KAKAR DDS
Practice address
927 Maple Grove Dr
Suite 111
Fredericksburg, VA 22407-6936
Phone
(540) 786-0051
Fax
(540) 786-0999
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mrs. Heather Lynne Spear-Ventre
Title
Office Manager
Phone
(540) 786-0051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 0401410573 VA Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 0401410972 VA

Addresses

Primary practice location

927 Maple Grove Dr
Suite 111
Fredericksburg, VA 22407-6936

Mailing address

927 Maple Grove Dr
Suite 111
Fredericksburg, VA 22407-6936
Phone (540) 786-0051

Other identifiers 3

IdentifierTypeStateIssuer
1710081195OtherVANPI NUMBER DR. BYRD
1174626717OtherVAPROVIDER NPI NUMBER
1477606465OtherVANPI NUMBER DR. LUNA

Other names 1

  • Fredericksburg Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

927 Maple Grove Dr
Ste 111
Fredericksburg, VA 22407
Phone (540) 786-0051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1457512188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 MAPLE GROVE DR",
            "address_2": "SUITE 111",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076936",
            "telephone_number": "540-786-0051",
            "fax_number": "540-786-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MAPLE GROVE DR",
            "address_2": "SUITE 111",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076936",
            "telephone_number": "540-786-0051",
            "fax_number": "540-786-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAK KAKAR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SPEAR-VENTRE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-786-0051",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410573",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER DR. BYRD",
            "identifier": "1710081195",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI NUMBER",
            "identifier": "1174626717",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER DR. LUNA",
            "identifier": "1477606465",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredericksburg Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.