Active NPI
Christopher R. Depner,M.D.
- Family Medicine Physician
- Wellsville, NY
National Provider Identifier
1629098066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 173875-1
- Legal business name
- CHRISTOPHER R. DEPNER,M.D.
- Practice address
- 12 Martin St
Wellsville, NY 14895-1057 - Phone
- (585) 593-4250
- Fax
- (585) 593-2465
- NPI assigned
- Jul 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher R Depner, M.D.
- Title
- Owner
- Phone
- (585) 593-4250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 173875-1 | NY | Primary |
Addresses
Primary practice location
12 Martin St
Wellsville, NY 14895-1057
Mailing address
12 Martin St
Wellsville, NY 14895-1057
Phone (585) 593-4250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173875-1 | Other | NY | LICENSE |
| 01080175 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Wellsville, NY
- NPI 1104810944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629098066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MARTIN ST",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148951057",
"telephone_number": "585-593-4250",
"fax_number": "585-593-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 MARTIN ST",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148951057",
"telephone_number": "585-593-4250",
"fax_number": "585-593-2465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER R. DEPNER,M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEPNER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-593-4250",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "173875-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "173875-1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01080175",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.