Active NPI
Kreshtool & Kim Endodontics PA
- Endodontics
- Wilmington, DE
National Provider Identifier
1083717094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- KRESHTOOL & KIM ENDODONTICS PA
- Practice address
- 1815 W 13TH Street
Suite #7
Wilmington, DE 19806-4054 - Phone
- (302) 652-3556
- Fax
- (302) 654-8088
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel R Kreshtool, DDS
- Title
- President
- Phone
- (302) 652-3556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
1815 W 13TH Street
Suite #7
Wilmington, DE 19806-4054
Mailing address
1815 W 13TH Street
Suite #7
Wilmington, DE 19806-4054
Phone (302) 652-3556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001186931 | Medicaid | DE | |
| 264118 | Other | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
1815 W 13th St
Ste 7
Wilmington, DE 19806
Phone (302) 652-3556
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Wilmington, DE
- NPI 1487757464
-
- Endodontics
- Wilmington, DE
- NPI 1174612626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083717094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 W 13TH STREET",
"address_2": "SUITE #7",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064054",
"telephone_number": "302-652-3556",
"fax_number": "302-654-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 W 13TH STREET",
"address_2": "SUITE #7",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064054",
"telephone_number": "302-652-3556",
"fax_number": "302-654-8088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRESHTOOL & KIM ENDODONTICS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRESHTOOL",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-652-3556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001186931",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "264118",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
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.