NPIMap

Organization Active NPI

Dental Health Center of del-Tech

  • Dental Clinic/Center
  • Wilmington, DE
National Provider Identifier
1114057825
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL HEALTH CENTER OF DEL-TECH
Practice address
333 N Shipley St
The Dental Health Center
Wilmington, DE 19801-2412
Phone
(302) 657-5176
Fax
(302) 657-5127
NPI assigned
Mar 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Shameka D Reeves-Russell, CDA
Title
Dental Health Center Manager
Phone
(302) 657-5176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE Primary

Addresses

Primary practice location

333 N Shipley St
The Dental Health Center
Wilmington, DE 19801-2412

Mailing address

333 N Shipley St
The Dental Health Center
Wilmington, DE 19801-2412
Phone (302) 657-5176

Other identifiers 1

IdentifierTypeStateIssuer
0000198748MedicaidDE

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

333 N Shipley St
Wilmington, DE 19801
Phone (302) 657-5176

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114057825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SHIPLEY ST",
            "address_2": "THE DENTAL HEALTH CENTER",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012412",
            "telephone_number": "302-657-5176",
            "fax_number": "302-657-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SHIPLEY ST",
            "address_2": "THE DENTAL HEALTH CENTER",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012412",
            "telephone_number": "302-657-5176",
            "fax_number": "302-657-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CENTER OF DEL-TECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REEVES-RUSSELL",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTAL HEALTH CENTER MANAGER",
        "authorized_official_telephone_number": "302-657-5176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000198748",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.