Lida Alimorad, D.D.S – Pediatric Dentistry

Key facts

NPI: 1013201987
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Dentistry 1223P0221X
License: G3-0000488 (DE)
Practice address: 1600 Rockland Rd
Wilmington, DE 19803
Phone: (302) 651-4200
Fax: (302) 651-4945
NPI assigned: Jun 8, 2011
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Lewes Pediatric Dentistry LLC Pediatric Dentistry · Lewes, DE · NPI 1902755564

NPD Authorized official PEDIATRIC DENTISTRY
Wilmington Pediatric Dentistry PA Pediatric Dentistry · Wilmington, DE · NPI 1285331603

NPD Authorized official PEDIATRIC DENTISTRY

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
G3-0000488	DE	MD	Dentist
0401413118	VA	MD	Dentist
14851	MD	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Wilmington Pediatric Dentistry PA	Pediatric Dentistry	Current	Accepting new patients
Lewes Pediatric Dentistry LLC	Pediatric Dentistry	Current	Accepting new patients

Locations

3105 Limestone Rd
Ste 305
Wilmington, DE 19808
Phone (302) 933-9900

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	G3-0000488	DE
Dentist	122300000X	0401413118	VA
Pediatric Dentistry	1223P0221X	G3-0000488	DE	Yes
General Practice Dentistry	1223G0001X	14851	MD

Addresses

Primary practice location

1600 Rockland Rd
Wilmington, DE 19803

Mailing address

PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4200

Other practice location 1

200 Girard St Ste 206
Gaithersburg, MD 20877-3490
Phone (301) 216-0880

Other practice location 2

200 Girard St Ste 206
Gaithersburg, MD 20877-3490
Phone (301) 216-0880

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2019.

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1013201987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19803",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Girard St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208773490",
            "country_code": "US",
            "telephone_number": "301-216-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Girard St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208773490",
            "country_code": "US",
            "telephone_number": "301-216-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIMORAD",
        "first_name": "LIDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G3-0000488",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413118",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G3-0000488",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

All providers in Wilmington, DE · Pediatric Dentistry in Delaware

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.