Active NPI
Halleh Asadpour, D.M.D
- Dentist
- Milford, DE
National Provider Identifier
1083961460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G1-0001351
- Practice address
- 215 W Liberty Way
Milford, DE 19963 - Phone
- (302) 424-7976
- NPI assigned
- Aug 6, 2012
- Last updated
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618001338 | DE | Order and Referring Only - Dentist | 7113238080 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0001351 | DE | MD | Dentist |
| DS039102 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.