NPIMap

Organization Active NPI

Kent Pediatrics, LLC

  • Pediatrics Physician
  • Dover, DE
National Provider Identifier
1134479462
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0007064 Issued in DE
Legal business name
KENT PEDIATRICS, LLC
Practice address
1102 S Dupont Hwy
Ste 1
Dover, DE 19901-4493
Phone
(302) 264-9691
Fax
(302) 264-9920
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Charizza Sales, MDNPI 1891987509
Title
Owner
Phone
(302) 264-9691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X C1-0007064 DE Primary

Addresses

Primary practice location

1102 S Dupont Hwy
Ste 1
Dover, DE 19901-4493

Mailing address

1102 S Dupont Hwy
Ste 1
Dover, DE 19901-4493
Phone (302) 264-9691

National Provider Directory

National Provider Directory

Locations

748 S New St
Ofc 1
Dover, DE 19904

1102 S DuPont Hwy
Ste 1
Dover, DE 19901
Phone (302) 264-9691

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1134479462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S DUPONT HWY",
            "address_2": "STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014493",
            "telephone_number": "302-264-9691",
            "fax_number": "302-264-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S DUPONT HWY",
            "address_2": "STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014493",
            "telephone_number": "302-264-9691",
            "fax_number": "302-264-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "CHARIZZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-264-9691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0007064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 17, 2016; 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.