Individual provider Active NPI

Stephanie Ann Defilippo, DDS

  • Pediatric Dentistry
  • Gettysburg, PA
National Provider Identifier
1962617761
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS036896L Issued in PA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
273152881MedicaidPA

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DS036896LWVMDDentist
DS036896LPAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.