Individual provider Active NPI

Richard Marshall Delano III, D.D.S., M.S.

  • General Practice Dentistry
  • Worthington, OH
National Provider Identifier
1053387340
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
OH18210 Issued in OH
Practice address
150 E Wilson Bridge Rd Ste 150
Worthington, OH 43085-2394
Phone
(614) 888-0377
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X OH18210 OH Primary

Addresses

Primary practice location

150 E Wilson Bridge Rd Ste 150
Worthington, OH 43085-2394

Mailing address

762 Hardtack CT
Gahanna, OH 43230-1885
Phone (614) 855-3514

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH18210OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
J Clarke Sanders, DDS- Worthington LLC Past Accepting new patients
Professonal Dental Alliance of Worthington, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1053387340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 HARDTACK CT",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301885",
            "telephone_number": "614-855-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E WILSON BRIDGE RD STE 150",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852394",
            "telephone_number": "614-888-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANO",
        "first_name": "RICHARD",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "OH18210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.