Individual provider Active NPI

Halleh Asadpour, D.M.D

  • Dentist
  • Milford, DE
National Provider Identifier
1083961460
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-0001351 Issued in DE
Practice address
215 W Liberty Way
Milford, DE 19963
Phone
(302) 424-7976
NPI assigned
Aug 6, 2012
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X G1-0001351 DE Primary
Dentist 122300000X DS039102 PA

Addresses

Primary practice location

215 W Liberty Way
Milford, DE 19963

Mailing address

1304 Shallcross Ave
Wilmington, DE 19806-3135
Phone (302) 521-1369

Other practice location 1

2205 Silverside Rd
Wilmington, DE 19810-4534
Phone (302) 475-5555

Other practice location 2

2205 Silverside Rd
Wilmington, DE 19810-4534
Phone (302) 475-5555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150618001338 DE Order and Referring Only - DentistPractitioner - Dentist 7113238080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001351DEMDDentist
DS039102PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond State Dentistry Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1083961460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 SHALLCROSS AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063135",
            "telephone_number": "302-521-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W LIBERTY WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-424-7976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Silverside Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198104534",
            "country_code": "US",
            "telephone_number": "302-475-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Silverside Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198104534",
            "country_code": "US",
            "telephone_number": "302-475-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASADPOUR",
        "first_name": "HALLEH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001351",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.