Delaware Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DELAWARE PEDIATRIC DENTISTRY

Practice address

625 N Dupont Blvd
Milford, DE 19963-1099

Phone

(954) 330-1525

NPI assigned

Mar 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gerardo Martinez, DMD

Title

Pediatric Dentist

Phone

(954) 330-1525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerardo Martinez D.M.D.

  • Pediatric Dentistry
  • Palmview, TX
  • NPI 1568719003
  NPD

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1063971745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TUSCANY DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197097856",
            "telephone_number": "954-330-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631099",
            "telephone_number": "954-330-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20785 Professional Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199473198",
            "country_code": "US",
            "telephone_number": "954-330-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELAWARE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "954-330-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaware Eye Care Center PA
• Delaware Home Health Care, Inc
• Delaware Hospice, Inc
• Delaware Integrative Healthcare of Milford, LLC
• Delaware Integrative Healthcare, LLC
• Delaware Sleep Disorder Centers
• Delaware Tongue Tie Center
• Delmarva Emergency Physicians LLP
• Frances Delva
• John Dente, M.D., FACEP

• All providers in Milford, DE
• Pediatric Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.