Deepmd Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DEEPMD INC

Practice address

24A Trolley SQ
#1334
Wilmington, DE 19806-3334

Phone

(778) 985-8021

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kenman Gan, MD

Title

Owner

Phone

(778) 985-8021

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1700511755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24A TROLLEY SQ # 1334",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063334",
            "telephone_number": "778-985-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24A TROLLEY SQ",
            "address_2": "#1334",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063334",
            "telephone_number": "778-985-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "GAN",
        "authorized_official_first_name": "KENMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "778-985-8021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Decarlo, PA
• Lauren Margaret Decker, NP
• Keara Decotiis, M.D.
• Katherine Deely, LPCMH
• Deeply Rooted Psychological Services LLC
• Defy Therapy Services
• Regina Marie Degnars, P.T.A.
• Tonya Rose Degraff, P.T.
• Harold A. Dehaven, D.D.S.
• Beverly Dehoff, RN

• All providers in Wilmington, DE
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.