Individual provider Active NPI

Derek Klepsky, DMD MDS

  • Endodontics
  • Aspinwall, PA
National Provider Identifier
1821336314
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS031444L Issued in PA
Practice address
101 Emerson Ave
Aspinwall, PA 15215-3252
Phone
(412) 782-4944
NPI assigned
Jan 18, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS031444L PA Primary

Addresses

Primary practice location

101 Emerson Ave
Aspinwall, PA 15215-3252

Mailing address

101 Emerson Ave
Aspinwall, PA 15215-3252
Phone (412) 782-4944

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160725000793 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6002109386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1821336314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EMERSON AVE",
            "city": "ASPINWALL",
            "state": "PA",
            "postal_code": "152153252",
            "telephone_number": "412-782-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EMERSON AVE",
            "city": "ASPINWALL",
            "state": "PA",
            "postal_code": "152153252",
            "telephone_number": "412-782-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPSKY",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DMD MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS031444L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspinwall, PA

Sources for this page

Verify at the official NPI Registry.