NPIMap

Organization Active NPI

J.Michael Fay, D.D.S.,P.a.

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1013136738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEA#AF4127230 Issued in DE
Legal business name
J.MICHAEL FAY, D.D.S.,P.A.
Practice address
3105 Limestone Rd
Suite 304
Wilmington, DE 19808-2147
Phone
(302) 998-2244
Fax
(302) 995-7134
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Christoher Dellose, D.M.D.NPI 1538388335
Title
President
Phone
(302) 998-2244

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 DEA#AF4127230 DE Primary

Addresses

Primary practice location

3105 Limestone Rd
Suite 304
Wilmington, DE 19808-2147

Mailing address

3105 Limestone Rd
Suite 304
Wilmington, DE 19808-2147
Phone (302) 998-2244

National Provider Directory

National Provider Directory

Locations

3105 Limestone Rd
Ste 304
Wilmington, DE 19808
Phone (302) 998-2244

Practitioners & affiliated clinicians

Practitioners 4

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013136738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 304",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-998-2244",
            "fax_number": "302-995-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 304",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-998-2244",
            "fax_number": "302-995-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.MICHAEL FAY, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELLOSE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-998-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "DEA#AF4127230",
            "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 Aug 22, 2020; 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.