Rahil Deepak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59867 Issued in CA

Practice address

12353 Mariposa Rd
Suite D1
Victorville, CA 92395-6000

Phone

(760) 962-8585

NPI assigned

Jun 23, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• A1 Dental

  • Dental Clinic/Center
  • Victorville, CA
  • NPI 1720493422
  NPD (past) Authorized official

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1902034432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 MILLBROOK WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12353 MARIPOSA RD",
            "address_2": "SUITE D1",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923956000",
            "telephone_number": "760-962-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEPAK",
        "first_name": "RAHIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Carlos De Vivero Lozano
• Megan Dea
• Yohannes Debebe, P.A.
• Elizabeth Anne Dederick, NP
• Nicolet D Deeb, RPH
• Deepika Saini Medical Corporation
• Raychelle Deermer-Kemple, DC
• Deirmenjian Dental Group Inc
• Deirmenjian Dental Group Inc
• Dexter Reyes Dejesus, DDS

• General Practice Dentistry in Victorville, CA
• Providers in Victorville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.