NPIMap

Organization Active NPI

State of Delaware

  • Local Education Agency (LEA)
  • Dover, DE
National Provider Identifier
1104960079
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
STATE OF DELAWARE
Practice address
104 Saulsbury Rd
Dover, DE 19904-2705
Phone
(302) 674-0684
NPI assigned
Feb 16, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Noel Rodriguez
Title
Principal
Phone
(302) 674-0684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

104 Saulsbury Rd
Dover, DE 19904-2705

Mailing address

104 Saulsbury Rd
Dover, DE 19904-2705
Phone (302) 674-0684

Other names 1

  • Academy of Dover Charter School Other name

National Provider Directory

National Provider Directory
Tax ID family
Fernhook Mental Hygiene131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

104 Saulsbury Rd
Dover, DE 19904
Phone (302) 674-0684

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1104960079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042705",
            "telephone_number": "302-674-0684",
            "fax_number": "302-674-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042705",
            "telephone_number": "302-674-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "302-674-0684"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academy of Dover Charter School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.