Active NPI
Annapurna Sridher Deshpande, BDS, DMD
- Endodontics
- Cocoa, FL
National Provider Identifier
1528296241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN18946
- Practice address
- 96 Willard St
Suite 103
Cocoa, FL 32922-7991 - Phone
- (321) 208-7979
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN18946 | FL | Primary |
Addresses
Primary practice location
96 Willard St
Suite 103
Cocoa, FL 32922-7991
Mailing address
96 Willard St
Suite 103
Cocoa, FL 32922-7991
Phone (321) 208-7979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18946 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr.Anu Deshpande BDS DMD Ms PA | Endodontics | Current | Accepting new patients |
| Dr.Anu Deshpande BDS DMD Ms PA | Endodontics | Current | Accepting new patients |
Locations
96 Willard St
Ste 103
Cocoa, FL 32922
Phone (321) 208-7979
Organizations & group practices 2
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.
-
- Endodontics
- Melbourne, FL
- NPI 1669067682
-
- Endodontics
- Cocoa, FL
- NPI 1700211935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1528296241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 WILLARD ST",
"address_2": "SUITE 103",
"city": "COCOA",
"state": "FL",
"postal_code": "329227991",
"telephone_number": "321-208-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 WILLARD ST",
"address_2": "SUITE 103",
"city": "COCOA",
"state": "FL",
"postal_code": "329227991",
"telephone_number": "321-208-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHPANDE",
"first_name": "ANNAPURNA",
"middle_name": "SRIDHER",
"name_prefix": "Dr.",
"credential": "BDS, DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN18946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.