Ashok V Deshpande, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20716 Issued in OH

Practice address

20508 Southgate Park Blvd
Maple Heights, OH 44137-2900

Phone

(216) 663-2292

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Maple Heights Dental LLC

  • Dentist
  • Maple Heights, OH
  • NPI 1821807884
  NPD (past)
• North Coast Dental DRS. Guren, Zeaman and Associates Inc.

  • General Practice Dentistry
  • Maple Heights, OH
  • NPI 1568563302
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912019241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27765 MARQUETTE BLVD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440701759",
            "telephone_number": "440-734-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 SOUTHGATE PARK BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372900",
            "telephone_number": "216-663-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "ASHOK",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341940255028",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053692",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedicated Ohio Holding, LLC
• Ebony Degraffenried
• Tiffany Denise Dennis
• Alexis Renee Denny Thornton
• Nakeia Chevon Dent
• Barbara Evette Dickinson, LPN
• Discount Drug Mart Inc
• Divine Care Transport
• Divinity Care and Company
• Divinity Care and Company

• General Practice Dentistry in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.