Individual provider Active NPI

Deepti Amol Janorkar, B.D.S.

  • Dentist
  • Jackson, MS
National Provider Identifier
1588812341
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3574-10 Issued in MS
Practice address
275 Roseneath Ave
Jackson, MS 39203-2052
Phone
(601) 608-0050
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3574-10 MS Primary

Addresses

Primary practice location

275 Roseneath Ave
Jackson, MS 39203-2052

Mailing address

275 Roseneath Ave
Jackson, MS 39203-2052
Phone (601) 608-0050

Other identifiers 1

IdentifierTypeStateIssuer
05836742MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20170113000604 MS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062794720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3574-10MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
University Physicians, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: djanorkar49056@ummc.direct-ci.com
  • Direct secure messaging: deepti.janorkar@fhcc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1588812341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 ROSENEATH AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392032052",
            "telephone_number": "601-608-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROSENEATH AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392032052",
            "telephone_number": "601-608-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANORKAR",
        "first_name": "DEEPTI",
        "middle_name": "AMOL",
        "credential": "B.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3574-10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05836742",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.