NPIMap

Individual provider Active NPI

David Stephen Estock, M.D.

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1275533135
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0003216 Issued in DE
Practice address
1403 Foulk Rd
Suite 105
Wilmington, DE 19803-2788
Phone
(302) 479-0100
Fax
(302) 479-0177
NPI assigned
Jul 21, 2005
Reactivated
Apr 6, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0003216 DE Primary

Addresses

Primary practice location

1403 Foulk Rd
Suite 105
Wilmington, DE 19803-2788

Mailing address

1403 Foulk Rd
Suite 105
Wilmington, DE 19803-2788
Phone (302) 479-0100

Other identifiers 2

IdentifierTypeStateIssuer
080139009OtherDERAILROAD MEDICARE INDIV
0000157501MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000721 DE Practitioner - Family Practice 6103927363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1403 Foulk Rd
Suite 105
Wilmington, DE 19803-2788

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0003216DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard F. King, DO, PA Family Medicine PastSince Apr 22, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.estock.1@28486.direct.athenahealth.com
  • Direct secure messaging: david.estock@25253130.chartlogic.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1275533135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD",
            "address_2": "SUITE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-479-0100",
            "fax_number": "302-479-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD",
            "address_2": "SUITE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-479-0100",
            "fax_number": "302-479-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTOCK",
        "first_name": "DAVID",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-03-28",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0003216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIV",
            "identifier": "080139009",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000157501",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.