Dipesh P Sitaram, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010835A Issued in IN

Practice address

3780 W Jonathan Moore Pike Ste 180
Columbus, IN 47201-9430

Phone

(812) 342-9666

Fax

(812) 342-4434

NPI assigned

Oct 25, 2006

Sex

Male

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

Enrolled in IN

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 and National Provider Directory roles.

• North Vernon Family Dental LLC

  • Dentist
  • North Vernon, IN
  • NPI 1669820643
  NPD (past) Authorized official
• Sitaram Dental LLC

  • Dental Clinic/Center
  • Columbus, IN
  • NPI 1902055056
  NPD (past) Authorized official
• Sitaram Investments, LLC

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1528197076
  NPD (past) Authorized official
• Dsofc LLC

  • Dentist
  • Columbus, IN
  • NPI 1700639390
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1477637296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 W JONATHAN MOORE PIKE",
            "address_2": "#180",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472019430",
            "telephone_number": "812-342-9666",
            "fax_number": "812-342-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 W JONATHAN MOORE PIKE STE 180",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472019430",
            "telephone_number": "812-342-9666",
            "fax_number": "812-342-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITARAM",
        "first_name": "DIPESH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010835A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010835A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Singh, M.D.
• Rajinder Pal Singh, D.O.
• Kaitlyn Sinnock, RBT
• Shelby Ann Sipes
• Sitaram Dental LLC
• Jacob Sitterding
• Skin Solutions
• Benjamin R Sklar, HSPP
• Chelsie Skurka
• Olivia Slack

• General Practice Dentistry in Columbus, IN
• Providers in Columbus, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.