Organization Active NPI

Kirkwood Dental Associates

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1003076175
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1989017538 Issued in DE
Legal business name
KIRKWOOD DENTAL ASSOCIATES
Practice address
710 Greenbank Rd
Wilmington, DE 19808-3115
Phone
(302) 994-2582
Fax
(302) 994-5151
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. David C Ehrenfeld, DDSNPI 1811034499
Title
President/Dentist
Phone
(302) 994-2582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1989017538 DE Primary

Addresses

Primary practice location

710 Greenbank Rd
Wilmington, DE 19808-3115

Mailing address

710 Greenbank Rd
Wilmington, DE 19808-3115
Phone (302) 994-2582

National Provider Directory

National Provider Directory

Locations

710 Greenbank Rd
Wilmington, DE 19808
Phone (302) 994-2582

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1003076175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GREENBANK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083115",
            "telephone_number": "302-994-2582",
            "fax_number": "302-994-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GREENBANK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083115",
            "telephone_number": "302-994-2582",
            "fax_number": "302-994-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "EHRENFELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "302-994-2582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "1989017538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.