Maven Deadlock

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

8282 Willett Pkwy
Baldwinsville, NY 13027-1306

Phone

(315) 857-0800

NPI assigned

Nov 5, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1659194918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 JENNINGS LN",
            "city": "BENTONVILLE",
            "state": "VA",
            "postal_code": "226102573",
            "telephone_number": "802-465-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 WILLETT PKWY",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271306",
            "telephone_number": "315-857-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEADLOCK",
        "first_name": "MAVEN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher G Darcy, DC
• David R Pearce DDS PC
• Katie Davis, RN
• Deborah Dawson
• Karel M. De Ubl, DDS
• Rebecca Degennaro, RN
• Bonnie Dekin, LMFT
• Joel Patrick Delaney, RPA
• Tera Charlene Delong, LPN
• Rachael Leigh Demarco, MS, CCC-SLP

• Specialist in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.