Organization Active NPI

Dove Pointe Inc

  • Developmental Disabilities Clinic/Center
  • Salisbury, MD
National Provider Identifier
1063428316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
2293612 Issued in MD
Legal business name
DOVE POINTE INC
Practice address
1225 Mt Hermon Road
Salisbury, MD 21802
Phone
(410) 341-4472
Fax
(410) 341-0927
NPI assigned
Jul 31, 2006
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
Mr. Donald B Hackett
Title
Executive Director
Phone
(410) 341-4472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 2293612 MD Primary

Addresses

Primary practice location

1225 Mt Hermon Road
Salisbury, MD 21802

Mailing address

PO Box 1610
Salisbury, MD 21802
Phone (410) 341-4472

Other identifiers 1

IdentifierTypeStateIssuer
1000035310MedicaidDE

National Provider Directory

National Provider Directory

Locations

1225 Mount Hermon Rd
Salisbury, MD 21804
Phone (410) 341-4472

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063428316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21802",
            "telephone_number": "410-341-4472",
            "fax_number": "410-341-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MT HERMON ROAD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21802",
            "telephone_number": "410-341-4472",
            "fax_number": "410-341-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE POINTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-341-4472",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MD",
            "license": "2293612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035310",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

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.