Individual provider Active NPI

Darla Marie Brice, DDS,MS

  • Periodontics
  • Wilmington, DE
National Provider Identifier
1003915091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
G1-0001076 Issued in DE
Practice address
3512 Silverside Rd Ste 6
Wilmington, DE 19810-4941
Phone
(302) 478-4700
Fax
(302) 478-7747
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X G1-0001076 DE Primary

Addresses

Primary practice location

3512 Silverside Rd Ste 6
Wilmington, DE 19810-4941

Mailing address

22 York Rd
Wilmington, DE 19803-3735
Phone (302) 777-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20150616001258 DE Order and Referring Only - DentistPractitioner - Dentist 6002127198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003915091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 YORK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033735",
            "telephone_number": "302-777-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 SILVERSIDE RD STE 6",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104941",
            "telephone_number": "302-478-4700",
            "fax_number": "302-478-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "DARLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": "G1-0001076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.