Michael C Duffy, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

G1-0001157 Issued in DE

Practice address

300 Foulk Rd Ste 101
Wilmington, DE 19803-3819

Phone

(302) 652-3775

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foulk Road Dental

  dba park place dental

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1750435350
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1083922785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOULK RD STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033819",
            "telephone_number": "302-652-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOULK RD STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033819",
            "telephone_number": "302-652-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy F Duer, M.S.P.T.
• George Alvin Duffield, PA-C
• Wayne Andrew Duffus, M.D.
• Brian J. Duffy, MD
• Linda Duffy, PA-C
• Kevin Elliot Duhadaway, P.T.
• Duane Stopp Duke, M.D.
• Angela Duker, MS
• Catherine Dukes, PHD, MSW
• Rhonda Dukes

• Dentist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.