Organization Active NPI

The Delaware Center for Endodontics and Microsurgery

  • Endodontics
  • Middletown, DE
National Provider Identifier
1093865289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
G1-0001197 Issued in DE
Legal business name
THE DELAWARE CENTER FOR ENDODONTICS AND MICROSURGERY
Practice address
114 Saint Annes Church Rd
Middletown, DE 19709-1495
Phone
(302) 285-0350
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregeor Joseph Dearing, D.M.D.
Title
President
Phone
(302) 285-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X G1-0001197 DE Primary

Addresses

Primary practice location

114 Saint Annes Church Rd
Middletown, DE 19709-1495

Mailing address

114 Saint Annes Church Rd
Middletown, DE 19709-1495
Phone (302) 285-0350

Other identifiers 3

IdentifierTypeStateIssuer
1000037174MedicaidDE
671436OtherDEUNITED CONCORDIA PROVIDER
1000037158MedicaidDE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093865289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SAINT ANNES CHURCH RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091495",
            "telephone_number": "302-285-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SAINT ANNES CHURCH RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091495",
            "telephone_number": "302-285-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DELAWARE CENTER FOR ENDODONTICS AND MICROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEARING",
        "authorized_official_first_name": "GREGEOR",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-285-0350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "DE",
            "license": "G1-0001197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000037174",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "671436",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000037158",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, 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.

Verify at the official NPI Registry.