Individual provider Active NPI

Justin Batcheller, DMD

  • Dentist
  • Wilmington, DE
National Provider Identifier
1144989344
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02872700 Issued in NJ
Practice address
601 New Castle Ave
Wilmington, DE 19801-5821
Phone
(302) 655-6187
NPI assigned
Dec 15, 2021
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02872700 NJ Primary

Addresses

Primary practice location

601 New Castle Ave
Wilmington, DE 19801-5821

Mailing address

601 New Castle Ave
Wilmington, DE 19801-5821
Phone (302) 655-6187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220127000296 NJ Order and Referring Only - DentistPractitioner - Dentist 4789076670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1144989344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NEW CASTLE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015821",
            "telephone_number": "302-655-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NEW CASTLE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015821",
            "telephone_number": "302-655-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHELLER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02872700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.