NPIMap

Organization Active NPI

Bethany Dental Associates

  • Dental Clinic/Center
  • Bethany Beach, DE
National Provider Identifier
1013370121
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1011 Issued in DE
Legal business name
BETHANY DENTAL ASSOCIATES
Practice address
32895 Coastal Hwy Unit 102
Bethany Beach, DE 19930-3783
Phone
(302) 537-1200
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Mark Brown
Title
Owner Dentist
Phone
(302) 537-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1011 DE Primary

Addresses

Primary practice location

32895 Coastal Hwy Unit 102
Bethany Beach, DE 19930-3783

Mailing address

32895 Coastal Hwy Unit 102
Bethany Beach, DE 19930-3783
Phone (302) 537-1200

National Provider Directory

National Provider Directory

Locations

32895 Coastal Hwy
Unit 102
Bethany Beach, DE 19930
Phone (302) 537-1200

Practitioners & affiliated clinicians

Practitioners 1

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": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1013370121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32895 COASTAL HWY UNIT 102",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "199303783",
            "telephone_number": "302-537-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32895 COASTAL HWY UNIT 102",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "199303783",
            "telephone_number": "302-537-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "302-537-1200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DE",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.