Dawn Depke, B.A., OBT, NCBTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1300 Quail St
106
Newport Beach, CA 92660-2729

Phone

(630) 441-8183

NPI assigned

Oct 8, 2008

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1528219516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 QUAIL ST",
            "address_2": "106",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602729",
            "telephone_number": "630-441-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 QUAIL ST",
            "address_2": "106",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602729",
            "telephone_number": "630-441-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPKE",
        "first_name": "DAWN",
        "credential": "B.A., OBT, NCBTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB",
            "identifier": "289794-00",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.