Individual provider Active NPI

Deepti Anne Reji, D.M.D, M.P.H

  • General Practice Dentistry
  • Rock Hill, SC
National Provider Identifier
1699124610
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9834 Issued in SC
Practice address
998 Riverwalk Pkwy Ste 203
Rock Hill, SC 29730-0117
Phone
(803) 639-7676
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857268 MA
General Practice Dentistry 1223G0001X 9834 SC Primary

Addresses

Primary practice location

998 Riverwalk Pkwy Ste 203
Rock Hill, SC 29730-0117

Mailing address

998 Riverwalk Pkwy Ste 203
Rock Hill, SC 29730-0117
Phone (803) 639-7676

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
DN1857268MAMDDentist
9834SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1699124610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 RIVERWALK PKWY STE 203",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297300117",
            "telephone_number": "803-639-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 RIVERWALK PKWY STE 203",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297300117",
            "telephone_number": "803-639-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REJI",
        "first_name": "DEEPTI",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857268",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.