NPIMap

Organization Active NPI

Christiana Dental Spa PA

  • Dentist
  • Newark, DE
National Provider Identifier
1225364409
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2008601235 Issued in DE
Legal business name
CHRISTIANA DENTAL SPA PA
Practice address
4133 Ogletown Stanton Rd
Newark, DE 19713-4168
Phone
(302) 369-6900
Fax
(302) 369-9777
NPI assigned
Oct 23, 2009
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Dr. Linda Le Nguyen, DDSNPI 1376609966
Title
Owner
Phone
(302) 369-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2008601235 DE Primary

Addresses

Primary practice location

4133 Ogletown Stanton Rd
Newark, DE 19713-4168

Mailing address

4133 Ogletown Stanton Rd
Newark, DE 19713-4168
Phone (302) 369-6900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1225364409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134168",
            "telephone_number": "302-369-6900",
            "fax_number": "302-369-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134168",
            "telephone_number": "302-369-6900",
            "fax_number": "302-369-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA DENTAL SPA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-369-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "2008601235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.