Individual provider Active NPI

Deepa Madhavan Ipektchi, D.D.S.

  • Dentist
  • Wantagh, NY
National Provider Identifier
1619215910
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048156 Issued in NY
Practice address
3299 Cherrywood Dr
Wantagh, NY 11793-1827
Phone
(516) 785-5239
NPI assigned
Jan 21, 2013
Last updated
Jan 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 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 048156 NY Primary

Addresses

Primary practice location

3299 Cherrywood Dr
Wantagh, NY 11793-1827

Mailing address

6 Fathers CT
Dix Hills, NY 11746-4929
Phone (516) 238-1873

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

LicenseStateTypeSpecialty
048156NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1619215910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FATHERS CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464929",
            "telephone_number": "516-238-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 CHERRYWOOD DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931827",
            "telephone_number": "516-785-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPEKTCHI",
        "first_name": "DEEPA",
        "middle_name": "MADHAVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.