NPIMap

Organization Active NPI

State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
National Provider Identifier
1043385404
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
STATE OF DELAWARE
Practice address
417 Federal St
Dover, DE 19901-3635
Phone
(302) 744-4548
Fax
(302) 739-1613
NPI assigned
Nov 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Karyl Rattay, MD
Title
Director
Phone
(302) 744-4700

National Provider Directory

National Provider Directory
Tax ID family
DVH Dental Suite131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

NPPES NPI Registry

Primary practice location

417 Federal St
Dover, DE 19901-3635

Mailing address

417 Federal St
Dover, DE 19901-3635
Phone (302) 744-4548

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0000121349MedicaidDE

Other names 1

NPPES NPI Registry
  • CDW South Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2011.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1043385404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FEDERAL ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013635",
            "telephone_number": "302-744-4548",
            "fax_number": "302-739-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FEDERAL ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013635",
            "telephone_number": "302-744-4548",
            "fax_number": "302-739-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "RATTAY",
        "authorized_official_first_name": "KARYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-744-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000121349",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDW South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.