Active NPI
Stephanie Ann Defilippo, DDS
- Pediatric Dentistry
- Gettysburg, PA
National Provider Identifier
1962617761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS036896L
- Practice address
- 353 York St
Gettysburg
Gettysburg, PA 17325-1953 - Phone
- (717) 334-8193
- Fax
- (717) 334-0884
- NPI assigned
- May 14, 2007
- Last updated
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS036896L | WV | |
| Pediatric Dentistry | 1223P0221X | DS036896L | PA | Primary |
Addresses
Primary practice location
353 York St
Gettysburg
Gettysburg, PA 17325-1953
Mailing address
353 York St
Gettysburg
Gettysburg, PA 17325-1953
Phone (717) 334-8193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273152881 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 30, 2017 through Mar 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS036896L | WV | MD | Dentist |
| DS036896L | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland L. Null, DDS, PC | Past | Accepting new patients | |
| Seidel and Defilippo Dentistry Partnership | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Gettysburg, PA
- NPI 1154431245
-
- General Practice Dentistry
- Gettysburg, PA
- NPI 1154631737
Pediatric Dentistry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1962617761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 YORK ST",
"address_2": "GETTYSBURG",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173251953",
"telephone_number": "717-334-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 YORK ST",
"address_2": "GETTYSBURG",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173251953",
"telephone_number": "717-334-8193",
"fax_number": "717-334-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFILIPPO",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "DS036896L",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS036896L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273152881",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.