Niranjan Desai, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS020599 Issued in PA

Practice address

2537 Route 6
Hawley, PA 18428-7031

Phone

(570) 226-8800

Fax

(570) 226-3511

NPI assigned

Nov 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Horizon Dental Care, Inc.

  • General Practice Dentistry
  • Hawley, PA
  • NPI 1104068246
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1629474580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 ROUTE 6",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287031",
            "telephone_number": "570-226-8800",
            "fax_number": "570-226-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 ROUTE 6",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287031",
            "telephone_number": "570-226-8800",
            "fax_number": "570-226-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NIRANJAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Chabak, MSPT
• Elizabeth Ciaravino, PH D
• Compass Healthcare Navigators
• County Caregivers LLC
• Leland T Deblon, DC
• Cinda Case Dirlam, P.T.A.
• Eric Dittmeier, DPT
• Donald O Broughton
• Cara-Jean Dougherty, PHD
• Louise Eitelberg, M.A. CCC-SLP

• Dentist in Hawley, PA
• Providers in Hawley, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.