Active NPI
Zachary Lewis Chipman, DDS
- General Practice Dentistry
- Wilmington, DE
National Provider Identifier
1104046812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- G10001166
- Practice address
- 5505 Kirkwood Highway
Wilmington, DE 19808 - Phone
- (302) 994-8696
- Fax
- (302) 994-0259
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | G10001166 | DE | Primary |
Addresses
Primary practice location
5505 Kirkwood Highway
Wilmington, DE 19808
Mailing address
5505 Kirkwood Highway
Wilmington, DE 19808
Phone (302) 994-8696
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 |
|---|---|---|---|---|
| I20150429001970 | DE | Order and Referring Only - Oral Surgery | 4981923729 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10001166 | DE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104046812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 KIRKWOOD HIGHWAY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19808",
"telephone_number": "302-994-8696",
"fax_number": "302-994-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 KIRKWOOD HIGHWAY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19808",
"telephone_number": "302-994-8696",
"fax_number": "302-994-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIPMAN",
"first_name": "ZACHARY",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G10001166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
- Children and Families First Delaware, Inc.
- Children'S Dental Health of Delaware - Wilmington, PA
- Children'S Dental Health of Delaware, LLC
- Children'S Hospital of Philadelphia
- Elizabeth Rose Chiliberti, PA-C
- Julie Fino Chiquoine, C.F.N.P.
- Chirostaff LLC
- Krystal Lee Chivington
- Visalakshi Chivukula, RPH
- Paul Cho, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.